MEDICARE: TRUE REACHER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor
2	364SL0600X	Long-Term Care Clinical Nurse Specialist

General Provider Information

NPI Number	:	1336886837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE REACHER INC

Provider Business Mailing Address
First Line	:	6531 FM 78 # 110-306
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-1454
Country	:	US
Telephone Number	:	210-392-4236
Fax Number	:

Provider Business Practice Location Address
First Line	:	6618 DRIFTING SKY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-1408
Country	:	US
Telephone Number	:	210-392-4236
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SONYA JONES
Credential	:
Telephone Number	:	210-392-4236

Provider Enumeration Date	:	05/16/2022
Last Update Date	:	09/07/2023

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Directions to “TRUE REACHER INC ” Practice Location

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