Individual
CHRISTINE L HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11910 GREENVILLE AVE, SUITE 650, DALLAS, TX 75243-3596
(214) 373-9092
(214) 373-9250
Mailing address
PO BOX 741475, DALLAS, TX 75374-1475
(214) 373-9092
(214) 373-9250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
599702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184115701
—
TX
05
—
184115702
—
TX
05
—
184115703
—
TX
05
—
184115704
—
TX
01
—
8552UG
BCBSTX
TX
01
—
P01013174
RAILROAD
TX
Enumeration date
07/05/2006
Last updated
07/29/2014
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