Individual
CATHERINE HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3310 COLE AVE, 462, DALLAS, TX 75204-2378
(734) 646-4447
Mailing address
3310 COLE AVE, 462, DALLAS, TX 75204-2378
(734) 646-4447
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
806970
TX
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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