Individual
CAITLIN ELIZABETH PEDIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
900 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6375
(817) 442-8900
Mailing address
1200 BROOKSHIRE DR, BEDFORD, TX 76021-2446
(817) 909-7752
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
842774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11228663
INSURANCE
—
Enumeration date
03/19/2019
Last updated
03/19/2019
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