Individual
DINAH OLGUIN CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
108 KANI LN, BASTROP, TX 78602-4611
(210) 445-2318
Mailing address
108 KANI LN, BASTROP, TX 78602-4611
(210) 445-2318
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
02/25/2009
Last updated
11/12/2024
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