Individual
AMERICA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19333 CLAY RD, KATY, TX 77449-4001
(713) 462-6565
Mailing address
800 W SAM HOUSTON PKWY S STE 200, HOUSTON, TX 77042-1914
(713) 462-6565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041463017
IL
208000000X
Pediatrics Physician
1084195
TX
363LF0000X
Family Nurse Practitioner
Primary
1084195
TX
363LF0000X
Family Nurse Practitioner
95018662
CA
Other
Enumeration date
11/01/2019
Last updated
03/30/2023
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