Individual
CARRIE ANN PURSIFULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 930-2016
Mailing address
8700 CROWNHILL BLVD, STE 808, SAN ANTONIO, TX 78209-1136
(210) 930-2016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80161
TX
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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