Organization
KOALAT ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN WATERMAN CRNA (CRNA, OWNER)
(325) 660-5535
Entity
Organization
Contact information
Practice address
19010 STONE OAK PKWY, SAN ANTONIO, TX 78258-3225
(210) 575-5200
Mailing address
3301 S 14TH ST STE 16180, ABILENE, TX 79605-5015
(325) 660-5535
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
12/21/2022
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