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Individual

GAIL MARTIN-CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY, DALLAS, TX 75235-7708
(214) 590-8329
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-4105

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
589434
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002727701
TX
01
82634U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/14/2005
Last updated
06/03/2008
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