Individual
ABIGAIL CLAROSE D'SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CAA
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1047
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
72019155
FL
367H00000X
Anesthesiologist Assistant
Primary
AA624
TX
Other
Enumeration date
09/17/2020
Last updated
10/07/2024
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