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Organization
PRECISE EDGE SERVICES LLC
Active
Organization
PRECISE EDGE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LEAKE CRNA (PROVIDER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
708 EDGEWOOD DR, DESOTO, TX 75115-4331
(817) 294-7444
(817) 294-7172
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
(817) 294-7172
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
36531057
TX
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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