LAKE TIME CRNA

DALLAS, TX
NPI1518325513
Entity TypeOrganization
Authorized ContactCECE PANNELL
Off Mgr
817-294-7444
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  661498)
Enumeration Date2016-02-04
Last Update Date2016-04-11
Business Address
LAKE TIME CRNA
9301 N CENTRAL EXPY SUITE 1000W
DALLAS, TX 75231-0806
Phone number: 214-265-2810
Mailing Address
LAKE TIME CRNA
PO BOX 2626
FORT WORTH, TX 76113-2626
Phone number: 817-294-7444