| NPI | 1336519560 |
|---|---|
| Doing Business As | CAROUSEL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ANGELA KILCOLLINS Credentialing Director 512-583-9679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |