Individual
SHIELAMAE N. CARBULLIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
3035 STILLHOUSE LAKE RD,, HARKER HEIGHTS, TX 76548
(254) 519-8922
Mailing address
1246 JESTER CT, COPPERAS COVE, TX 76522-8102
(254) 981-6072
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1129827
TX
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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