Individual
MS. CLARISSA VINCENT CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2121 SW 36TH ST # MS 63-2, SAN ANTONIO, TX 78237-3360
(210) 358-5100
(210) 358-5157
Mailing address
PO BOX 87, SAN ANTONIO, TX 78291-0087
(210) 358-9174
(210) 358-5753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
700234
TX
Other
Enumeration date
11/03/2010
Last updated
02/23/2012
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