Individual
ILENE JULIE MCGARRIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 570, AUSTIN, TX 78705-1019
(512) 454-2454
(512) 454-1532
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(512) 454-2454
(512) 454-1532
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
32767
TX
367500000X
Certified Registered Nurse Anesthetist
AP101881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167701
—
TX
01
—
80227C
BC/BS
TX
Enumeration date
11/21/2005
Last updated
08/09/2021
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