Individual
DIANE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0386
Mailing address
7101 AXIS CT, FORT WORTH, TX 76132-3572
(817) 361-0246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
037396
TX
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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