Provider Demographics
NPI:1376786996
Name:ASIIL, LLC
Entity Type:Organization
Organization Name:ASIIL, LLC
Other - Org Name:NEW BRAUNFELS RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CASTANEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-629-3614
Mailing Address - Street 1:189 E AUSTIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4104
Mailing Address - Country:US
Mailing Address - Phone:830-629-3614
Mailing Address - Fax:830-629-2438
Practice Address - Street 1:510 E COURT ST
Practice Address - Street 2:SEGUIN CBOC
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5712
Practice Address - Country:US
Practice Address - Phone:830-629-3614
Practice Address - Fax:830-629-2438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX600024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty