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Tim Senthavisouk, NP
Nurse Practitioner in San Antonio, Texas
NPI 1376731885

Tim Senthavisouk is a Nurse Practitioner based in Troy, TX. Tim Senthavisouk practices in San Antonio, TX and has the professional credentials of NP. The NPI Number for Tim Senthavisouk is 1376731885 and holds a License No. 775309 (Texas).

The current practice location address for Tim Senthavisouk is 4800 Fredericksburg Rd, San Antonio, TX and can be reached out via phone at 210-733-5072 and via fax at 210-733-8649.

Location: 4800 Fredericksburg Rd, San Antonio, TX, 48099-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376731885
Provider Name
Tim Senthavisouk
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
4800 Fredericksburg Rd, San Antonio, TX, 48099-1239
Phone Number
210-733-5072
Fax Number
210-733-8649
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0930196740 05 CA
institution
Provider Business Practice Location Address Details
Address
4800 Fredericksburg Rd
City
San Antonio
State
Texas
Zip
78229-3628
Phone Number
210-733-5072
Fax Number
210-733-8649
person
Provider Business Mailing Address Details
Address
4800 Fredericksburg Rd
City
San Antonio
State
Texas
Zip
78229-3628
Phone Number
210-733-5072
Fax Number
210-733-8649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP 16316 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
775309 (Texas)
Definition
Definition to come...
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