Organization Active NPI

Geriatric and Palliative Medical Care of Texas LLC

  • Medical Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1821459827
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GERIATRIC AND PALLIATIVE MEDICAL CARE OF TEXAS LLC
Practice address
4879 Corian Springs Dr
San Antonio, TX 78247-5599
Phone
(210) 379-7340
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Dr. Tanpraserth Vatanadilok, D.N.P.
Title
Founder/Ceo
Phone
(210) 379-7340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4879 Corian Springs Dr
San Antonio, TX 78247-5599

Mailing address

4879 Corian Springs Dr
San Antonio, TX 78247-5599
Phone (210) 379-7340

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1821459827",
    "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",
            "telephone_number": "210-379-7340"
        },
        {
            "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": "GERIATRIC AND PALLIATIVE MEDICAL CARE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "VATANADILOK",
        "authorized_official_first_name": "TANPRASERTH",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "210-379-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.N.P."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.