Individual
CAITLIN DORIS MENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6623 CALLAGHAN RD APT 1801, SAN ANTONIO, TX 78229-5160
(210) 385-1978
Mailing address
6623 CALLAGHAN RD APT 1801, SAN ANTONIO, TX 78229-5160
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
TX
01
—
NONE
NONE
—
Enumeration date
02/15/2019
Last updated
02/15/2019
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