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Individual

TRICIA CARLISLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
2500 W WILLIAM CANNON DR STE 503, AUSTIN, TX 78745-5286
(512) 243-8066
Mailing address
8401 CAYUGA DR, AUSTIN, TX 78749-3926
(720) 705-1276

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
10/13/2020
Last updated
10/20/2020
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