Individual
ALLISON L. HYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7497
Mailing address
PO BOX 162835, FORT WORTH, TX 76161-2835
(817) 334-0530
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
667187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N47F
MEDICARE GROUP PIN
—
01
—
137345809
MEDICAID GROUP
TX
01
—
140442853
CSHCN GROUP
TX
05
—
165137404
—
TX
01
—
165137405
CSHCN
TX
Enumeration date
02/03/2006
Last updated
07/09/2010
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