Individual
KRISTIN COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7200
(214) 648-0431
Mailing address
7803 QUIET WATERS DR, ARLINGTON, TX 76016-5397
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140503
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2019
Last updated
02/06/2019
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