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Individual

MS. GABRIELLA R CARRIZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2520 BROADWAY ST STE 202, SAN ANTONIO, TX 78215-1149
(210) 541-4884
(210) 541-4900
Mailing address
4197 WOODLANDS PKWY, PALM HARBOR, FL 34685-3493
(813) 333-1512
(813) 333-1561

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13363
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
408389101
TX
01
408389102
CSHCN
TX
Enumeration date
12/25/2019
Last updated
12/02/2024
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