Individual
MRS. ELAINE MAY LADICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, SUITE 200, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP118846
TX
367500000X
Certified Registered Nurse Anesthetist
L6-0A00468
DE
Other
Enumeration date
10/13/2005
Last updated
03/20/2017
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