Individual
BRADLEY DANIEL KRYSL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
733515
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP113742
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173960706
—
TX
05
—
173961704
—
TX
05
—
173961707
—
TX
01
—
8326UG
BCBS TX
TX
01
—
84770U
BCBS OF TEXAS
TX
01
—
89476U
BLUE CROSS BLUE SHEILD
TX
01
—
P00809363
RAILROAD
TX
Enumeration date
05/18/2006
Last updated
07/20/2023
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