Individual
MS. KARLA JO KINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 882-3680
(817) 878-5135
Mailing address
13601 PRESTON RD, SUITE 900W, DALLAS, TX 75240-4911
(972) 233-1999
(972) 386-4292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
562839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502502001
—
TX
Enumeration date
12/28/2005
Last updated
07/09/2007
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