Individual
MRS. BEVERLY ANN SMITH-O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-5682
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
240176
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP104631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158116704
—
TX
01
—
8954UG
BCBS
TX
01
—
P01331279
RR
TX
Enumeration date
12/27/2005
Last updated
06/15/2020
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