Corazon Sotelo Paulo, RN
Individual provider Active NPI Home Health Registered Nurse · Bowie, TX
NPI 1376176263 · NPPES record last updated Feb 19, 2020
Key facts
- NPI
- 1376176263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 855570 (TX)
- Practice address
- 318 E Wilbarger St
Bowie, TX 76230-5915 - Phone
- (682) 412-7916
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 855570 | TX | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 855570 | TX | |
| Home Health Registered Nurse | 163WH0200X | 855570 | TX | Yes |
Addresses
Primary practice location
318 E Wilbarger St
Bowie, TX 76230-5915
Mailing address
318 E Wilbarger St
Bowie, TX 76230-5915
Phone (682) 412-7916
Other names
- Corazon Sotelo Baltazar
Other providers in Bowie, TX
- Paradox Healthcare Systems PLLC
- Kylie Parr
- Pooja Patel
- Pathway Habilitation Services
- Erica Davis Patton
- Michael Pendley
- Christopher Penny
- Donald Thomas Perry
- Katelynn McKinley Price
- Rise Therapy Services PLLC
All providers in Bowie, TX · Home Health Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.