Individual
CAESASONIA PASCUAL AGATEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9511
(325) 947-6550
Mailing address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9511
(325) 947-6550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP125367
TX
363LF0000X
Family Nurse Practitioner
747144
TX
Other
Enumeration date
03/21/2014
Last updated
12/06/2019
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