Individual
MRS. AMY M ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4519 N GARFIELD ST, SUITE 15, MIDLAND, TX 79705-3415
(432) 520-0291
(432) 520-2723
Mailing address
PO BOX 4157, MIDLAND, TX 79704-4157
(432) 520-0291
(432) 520-2723
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
648252
TX
Other
Enumeration date
12/29/2005
Last updated
02/27/2013
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