Individual
CAROLINE ELISE TULLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
3025 NOTTINGHAM DR, SHREVEPORT, LA 71115-9441
(318) 550-7515
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1150840
TX
367500000X
Certified Registered Nurse Anesthetist
147634
TX
Other
Enumeration date
12/25/2023
Last updated
03/14/2024
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