Provider Demographics
NPI:1336886837
Name:TRUE REACHER INC
Entity Type:Organization
Organization Name:TRUE REACHER INC
Other - Org Name:CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-392-4236
Mailing Address - Street 1:6531 FM 78 # 110-306
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-1454
Mailing Address - Country:US
Mailing Address - Phone:210-392-4236
Mailing Address - Fax:
Practice Address - Street 1:6618 DRIFTING SKY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-1408
Practice Address - Country:US
Practice Address - Phone:210-392-4236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term CareGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty