Individual
HYLDA BENNETT NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-6524
(214) 648-6400
(214) 648-5461
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-3369
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
539244
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP108763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166081303
—
TX
01
—
166081304
MEDICAID CSHCN
TX
01
—
85450U
BCBS
TX
Enumeration date
12/28/2005
Last updated
06/15/2021
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