Individual
DR. CAROLINA BONILLA JACOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
5804 BABCOCK RD PMB 106, SAN ANTONIO, TX 78240-2134
(916) 536-6030
(916) 244-3865
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A104077
CA
2084P0800X
Psychiatry Physician
MT191785
PA
2084P0800X
Psychiatry Physician
Primary
P6952
TX
Other
Enumeration date
08/10/2007
Last updated
01/17/2025
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