Organization
COMPASS BDH, LLC
Active
Organization
COMPASS BDH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE CANDELARIO (DIRECTOR)
(512) 535-0322
Entity
Organization
Contact information
Practice address
611 STAPLES RD, SAN MARCOS, TX 78666-1426
(512) 535-0322
(512) 535-6002
Mailing address
611 STAPLES RD, SAN MARCOS, TX 78666-1426
(512) 535-0322
(512) 535-6002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020RW
BCBS-MD
TX
01
—
00C70U
BCBS-CRNA
TX
05
—
199213301
—
TX
Enumeration date
10/16/2008
Last updated
02/02/2011
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