Provider Demographics
NPI:1063043255
Name:VISITING PRACTITIONERS & PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:VISITING PRACTITIONERS & PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALUKDAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:210-584-4238
Mailing Address - Street 1:15420 NACOGDOCHES RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1106
Mailing Address - Country:US
Mailing Address - Phone:210-812-1743
Mailing Address - Fax:
Practice Address - Street 1:15420 NACOGDOCHES RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1106
Practice Address - Country:US
Practice Address - Phone:210-812-1743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty