Individual
SANDRA PORTILLO-BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
5802 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-4252
(361) 696-6200
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141885
TX
363LF0000X
Family Nurse Practitioner
AP141885
TX
Other
Enumeration date
07/05/2019
Last updated
06/09/2022
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