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Individual

KIMBERLY TARLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753-4179
(512) 744-6000
(512) 583-9679
Mailing address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753-4179
(512) 744-6000
(512) 583-9679

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP126221
TX

Other

Enumeration date
10/03/2014
Last updated
10/03/2014
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