CARIS SUPERVILLE

AUSTIN, TX
NPI1205214673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  AP127762)
Enumeration Date2015-05-18
Last Update Date2015-05-18
Business Address
-- CARIS SUPERVILLE AGPCNP
7610 W HIGHWAY 71 SUITE F
AUSTIN, TX 78735-8231
Phone number: 512-288-0859
Mailing Address
-- CARIS SUPERVILLE AGPCNP
3967 FERNANDO DR
EULESS, TX 76040-3448
Phone number: 940-632-6843
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