Provider Demographics
NPI:1891799599
Name:CARRIZALES-PINTOR, CATHERINE (FNP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:CARRIZALES-PINTOR
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:205 E UNIVERSITY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6814
Mailing Address - Country:US
Mailing Address - Phone:512-868-1124
Mailing Address - Fax:512-869-2940
Practice Address - Street 1:2423 WILLIAMS DR
Practice Address - Street 2:SUITE 103
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628
Practice Address - Country:US
Practice Address - Phone:877-800-5722
Practice Address - Fax:512-930-7400
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP105281363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156061701Medicaid
TX8A3006Medicare ID - Type Unspecified
TX156061701Medicaid