Healthcare Provider Details

I. General information

NPI: 1396351904
Provider Name (Legal Business Name): CAROLINE AUGUSTE BESSELMAN MPAS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9305 PINECROFT DR STE 400
SPRING TX
77380-3482
US

IV. Provider business mailing address

9305 PINECROFT DR STE 400
THE WOODLANDS TX
77380-3482
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-8800
  • Fax:
Mailing address:
  • Phone: 214-938-5154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA13412
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: