Individual
MS. CAROLYN KUBACAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 E 3RD ST, HEREFORD, TX 79045-5727
(806) 364-2141
(806) 349-9377
Mailing address
801 E 3RD ST, HEREFORD, TX 79045-5727
(806) 364-2141
(806) 349-9377
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
028421
TX
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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