Vatanadilok Enterprise LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VATANADILOK ENTERPRISE LLC

Practice address

4879 Corian Springs Dr
San Antonio, TX 78247-5599

Phone

(210) 379-7340

NPI assigned

Feb 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tan Vatanadilok, D.N.P.

Title

Ceo

Phone

(210) 379-7340

Specialties & licenses 1

Addresses

Tax ID family

Geriatric and Palliative Focus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vatanadilok Enterprise LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1053772236
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1487013983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 CORIAN SPRINGS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 CORIAN SPRINGS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475599",
            "telephone_number": "210-379-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VATANADILOK ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "VATANADILOK",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-379-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.N.P."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George John Vassar, MD
• Kelly Vasseur, CCC-SLP
• Almina Vastani, AGACNP
• Jaya Vasudevan, MD
• Vatanadilok Enterprise LLC
• Tanpraserth Vatanadilok, N.P.
• Neda Vatanpour
• Denitrea F Vaughan, LPC
• Kristin Williams Vaughan, M.D.
• Adrianne Dewalt Vaughn, M.D.

• Community Based Hospice Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.