Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | Q3647 | TX |
NPI | 1588827810 |
---|---|
Provider Name | Maria Sherry Ann Nagano Caimol |
First Address | San Antonio, TX 78297-1957 |
Second Address | San Antonio, TX 78258-3280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 19/12/2016 |