CHARLES F. WALLER

FORT WORTH, TX
NPI1760455265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  564644)
Enumeration Date2006-02-07
Last Update Date2007-07-08
Business Address
CHARLES F. WALLER CRNA
321 N BAILEY AVE
FORT WORTH, TX 76107-1001
Phone number: 817-378-8573
Mailing Address
CHARLES F. WALLER CRNA
321 N BAILEY AVE
FORT WORTH, TX 76107-1001
Phone number: 817-378-8573
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