Lake Time Crna

NPI #1518325513 in Dallas, Texas

Provider Information

NPI Number
1518325513
Entity Type
Organization
Organization Name
Lake Time Crna
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 4, 2016
Last Updated
Apr 11, 2016

Practice Location

Address
9301 N CENTRAL EXPY
Address 2
SUITE 1000W
City
Dallas
State
Texas
ZIP Code
75231-0806
Phone
(214) 265-2810

Authorized Official

Name
CECE PANNELL
Title
OFF MGR
Phone
(817) 294-7444

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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