Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tim Senthavisouk, NP

Individual provider Nurse Practitioner · NPI 1376731885

Tim Senthavisouk, NP is a Nurse Practitioner in San Antonio, Texas. Licensed in California and Texas. Registered with an NPI since 2007.

Licensed in
CA, TX
In the registry since
2007
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4800 Fredericksburg Rd Ste 127
San Antonio, TX 78229-3628
Phone: (210) 733-5072
Fax: (210) 733-8649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 775309 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 775309 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP 16316 (CA)

Record details

NPI number1376731885
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 9, 2007
Last updated in NPPESSeptember 29, 2026

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