Individual
DANIELA COROMOTO ATENCIO BOHORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7700 CAT HOLLOW DR STE 103, ROUND ROCK, TX 78681-5797
(512) 244-1444
Mailing address
1221 S CONGRESS AVE APT 413, AUSTIN, TX 78704-2405
(312) 806-6630
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
S6119
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2012
Last updated
02/02/2023
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