Individual
MS. CHRISTAL GRACE PUREFOY GRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-0355
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
708670
TX
367500000X
Certified Registered Nurse Anesthetist
C02743
AR
Other
Enumeration date
02/25/2009
Last updated
09/29/2015
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