Individual
TRACIE CAROLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SURGICAL FIRST ASSIS
Contact information
Practice address
8000 IH 10 W, SUITE 600, SAN ANTONIO, TX 78230-3802
(210) 366-8032
(830) 422-6063
Mailing address
107 END GATE LN, SHAVANO PARK, TX 78231-1204
(207) 615-6600
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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