Individual
CORALYS DEL MAR LABRADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
3400 E CENTRAL TEXAS EXPY STE 101, KILLEEN, TX 76543-7326
(254) 741-6641
Mailing address
101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 78728-1203
(512) 244-4272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1127845
TX
Other
Enumeration date
07/06/2023
Last updated
01/31/2024
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