Individual provider · NPI-1

Carolyn Baguilat

Registered Nurse, Gerontology · San Antonio, TX

NPI number1184443202
StatusActive
Last updated in NPPESOct 7, 2024

Details

NPI
1184443202
Entity type
Individual (NPI-1)
Name
Mrs. Carolyn Baguilat
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2024
Certification date
Oct 7, 2024
Last updated
Oct 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0600X Registered Nurse, Gerontology718382TXYes

Practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Phone 210-617-5300

Mailing address

1414 Hunters Plane
San Antonio, TX 78245-2953

Phone 210-367-5049

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