Individual
CAROLINE MORRIS BRONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4533
(210) 567-0083
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4533
(210) 567-0083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP1002980
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421000701
—
TX
01
—
421000702
CSHCN
TX
Enumeration date
12/03/2020
Last updated
04/22/2021
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