Individual
CARYN MICHELLE COVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(805) 822-3873
Mailing address
2551 VIA ZURITA CT, SANTA ROSA VALLEY, CA 93012-9279
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0007107
CO
363A00000X
Physician Assistant
Primary
—
TX
363AS0400X
Surgical Physician Assistant
PA.0007107
CO
Other
Enumeration date
06/23/2018
Last updated
12/15/2023
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