Individual
AMANDA ROSE CARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6182 DUNBARTON OAK ST STE B, CORPUS CHRISTI, TX 78414-4276
(361) 452-9320
(361) 452-9321
Mailing address
PO BOX 61160, CORPUS CHRISTI, TX 78466-1160
(361) 884-2904
(361) 857-0572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N5607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293416YRQ8
MEDICARE PTAN
TX
01
—
N5607
MEDICAL LICENSE
TX
Enumeration date
05/25/2010
Last updated
12/11/2019
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