Individual
CALEB TUIASOSOPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 MORNING DOVE TRL, COPPERAS COVE, TX 76522-1935
(254) 444-7391
Mailing address
1201 MORNING DOVE TRL, COPPERAS COVE, TX 76522-1935
(254) 444-7391
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1206488
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2022
Last updated
07/14/2025
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