NPI age
18 years
Enumerated 2007-10-09
● Active
Type 1 · Individual
Tim Senthavisouk, NP
Senthavisouk is 1 of 396 nurse practitioner providers in San Antonio and 1 of 5264 in Texas.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
TX, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-05-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5264 active nurse practitioner providers in Texas.
NPI age
18 years
↑ 10 yr above median (8 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Practice location
4800 Fredericksburg Rd, Suite 127
San Antonio, TX 782293628
Mailing address
Po Box 1239
Troy, MI 480991239
Specialties
-
Nurse Practitioner Primary(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...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (CA) | 0930196740 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
Recently enumerated nearby: 10 new nurse practitioner providers have been added in San Antonio in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.