Individual
CAROL LYNN CORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27511 I-10 BLDG 5, BOERNE, TX 78006
(210) 352-5200
Mailing address
1044 BIG MEADOWS DR, BANDERA, TX 78003-3700
(830) 688-1384
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025064871
TX
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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