Individual
CAROLYN OPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 PRESTON RD STE 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
PO BOX 650802, DALLAS, TX 75265-0802
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
221950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025611-04
—
TX
01
—
84945U
BLUE SHIELD
TX
01
—
P00198753
RR/MEDICARE
TX
Enumeration date
04/04/2006
Last updated
06/04/2013
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