Organization
VANTHCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ALEXANDER CRNA (STAFF CRNA)
(214) 857-1817
Entity
Organization
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1817
Mailing address
4500 SOUTH LANCASTER ROAD, DALLAS, TX 75216
(214) 857-1817
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
236816
TX
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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