Individual
CHARLENE KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2606 HOSPITAL BLVD, CORPUS CHRISTI, TX 78405-1818
(757) 482-6732
Mailing address
16915 TIDEWATER CV, AUSTIN, TX 78717-2951
(512) 248-9875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
462025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86216U
BCBSTX
TX
Enumeration date
05/04/2006
Last updated
10/26/2007
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