JOHAN LUNDBLAD

AUSTIN, TX
NPI1063753101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP123176)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  739139)
Enumeration Date2013-03-14
Last Update Date2020-06-22
Business Address
JOHAN LUNDBLAD CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2554
Mailing Address
JOHAN LUNDBLAD CRNA
PO BOX 840853
DALLAS, TX 75284-1019
Phone number: 972-233-1999
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