Individual
BRENDA CARRILLO
Active
Individual
BRENDA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
BP20090173
TX
207R00000X
Internal Medicine Physician
BP10084429
TX
Other
Enumeration date
06/12/2023
Last updated
04/27/2024
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