SAMANTHA LYNN ZACK

AUSTIN, TX
NPI1780100263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP145570)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OR  201706092RN)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-08-16
Last Update Date2020-03-13
Business Address
SAMANTHA LYNN ZACK CRNA
3705 MEDICAL PKWY STE 570
AUSTIN, TX 78705-1024
Phone number: 512-454-2554
Mailing Address
SAMANTHA LYNN ZACK CRNA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999