Individual
ANA ROSA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 AVENUE H, CISCO, TX 76437-2642
(254) 433-1900
Mailing address
400 AVENUE H, CISCO, TX 76437-2642
(254) 433-1900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1216595
TX
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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