Individual
KARLA DE LA MATA TARRICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
25723 OLD FREDERICKSBURG RD, BOERNE, TX 78015-6605
(210) 450-6810
(210) 450-6021
Mailing address
25723 OLD FREDERICKSBURG RD, BOERNE, TX 78015-6605
(210) 450-6810
(210) 450-6021
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
692104
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
692104
TX
Other
Enumeration date
03/31/2020
Last updated
05/02/2024
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