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1720501992
NICHOLAS TERRY ROOT
AUSTIN, TX
NPI
1720501992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP134143)
Enumeration Date
2017-07-19
Last Update Date
2018-06-26
Business Address
NICHOLAS TERRY ROOT CRNA
3705 MEDICAL PKWY STE 570
AUSTIN, TX 78705
Phone number: 512-454-2554
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Mailing Address
NICHOLAS TERRY ROOT CRNA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999
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