Jamie Mills

 
 2019 Jun 11 12: 14 NSCL 
 (FAX) 3542564454 
 P.001/054 
 Missed Visit Form (SN Wound Care) 
 Nursing Services & Consultants of Laredo 
 John Carter (BE50233) 
 114 W. Railroad Ave. 
 DOB: 2002 Sep 07
 Benavides TX, 78341 (361) xxxxxxx 
 Date of visit: 2017 Nov 12 
 Physician: 
 JOHN MASCIALE MD 
 Physician Facsimile: 
 (361) 854-5054 
 Physician Phone: 
 (361) 854-0854
 Traveled to Patient: 
 No 
 Reason: 
 Doctor - Clinic Appointment 
 Comments: 
 Patient sees surgeon today. 
 Order Generated: 
 No 
 MD Notified: 
 Yes, by Fax . Physician: JOHN MASCIALE MD 
 Supervisor Notified: 
 Yes, by Phone 
 Clinician Signature: SIERA CELESTA BAZAN 
 Date 2022 Jul 27
 Digitally signed by: SIERA CELESTA BAZAN , LVN 
 76754-3 
 South Texas Bone & Joint - 00254
