Individual
KAREN PRISCILLA BALTAZAR GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
405 COUNTY ROAD 4923, BLOOMBURG, TX 75556-4186
(214) 551-9191
(903) 728-5489
Mailing address
405 COUNTY ROAD 4923, BLOOMBURG, TX 75556-4186
(214) 551-9191
(903) 728-5489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135628
TX
Other
Enumeration date
10/28/2017
Last updated
06/16/2018
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