1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Nurse Practitioner
  6. NPI Profile

TIM SENTHAVISOUK NP
NPI 1376731885
Nurse Practitioner in San Antonio, TX

Active since October 09, 2007
4800 FREDERICKSBURG RD, SUITE 127, SAN ANTONIO, TX 78229(210) 733-5072(210) 733-8649 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tim Senthavisouk Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIM SENTHAVISOUK NP (NPI 1376731885) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (775309) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1376731885
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTIM SENTHAVISOUKCredential: NP
Location Address4800 FREDERICKSBURG RD, SUITE 127San Antonio, TX 78229-3628
Mailing AddressPo Box 1239Troy, MI 48099-1239 · (248) 824-6600 · Fax (248) 324-1477
Phone(210) 733-5072
Fax(210) 733-8649
Sole ProprietorNo
Enumeration DateOctober 9, 2007
Last NPPES UpdateMay 5, 2014
✔ NPI 1376731885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 775309
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP 16316 (CA), 775309 (TX)
4800 FREDERICKSBURG RD, San Antonio, TX 78229
Open in Google Maps ↗

Other Identifiers 5

Medicare OSCAR/certification0930196740CA
Medicare NSC0930196740CA
Medicare UPIN0930196740CA
Medicaid0930196740CA
Medicare PIN0930196740CA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAMARA JEANNE DOMINGUEZ M.D.
Family Medicine
4800 FREDERICKSBURG RD, SUITE 127
SAN ANTONIO, TX 78229
Bexar County (210) 468-0800
ANGELINA CANTRELL NP
Nurse Practitioner
4800 FREDERICKSBURG RD, SUITE 127
SAN ANTONIO, TX 78229
Bexar County (210) 733-5072
LEA ANN CARVER NP
Nurse Practitioner
4800 FREDERICKSBURG RD, STE 127
SAN ANTONIO, TX 78229
Bexar County (210) 733-5072
CARL SIMPSON M.D.
General Practice
4800 FREDERICKSBURG RD, SUITE 127
SAN ANTONIO, TX 78229
Bexar County (210) 468-0800
GRETCHEN MARIA SINCLAIR FNP
Nurse Practitioner
4800 FREDERICKSBURG RD, SUITE 127
SAN ANTONIO, TX 78229
Bexar County (210) 733-5072
EDWARD MAXWELL PA
Physician Assistant
4800 FREDERICKSBURG RD, SUITE 127
SAN ANTONIO, TX 78229
Bexar County (210) 733-5072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Senthavisouk's NPI number?

The NPI number for Tim Senthavisouk is 1376731885. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Tim Senthavisouk located?

Tim Senthavisouk practices at 4800 Fredericksburg Rd Suite 127, San Antonio, TX 78229. The listed phone number is (210) 733-5072.

What is Tim Senthavisouk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tim Senthavisouk was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.