Individual
MARY ANN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6130 PARKWAY DR, CORPUS CHRISTI, TX 78414-2455
(361) 853-2200
(361) 882-4891
Mailing address
8210 SEASHORE DR, CORPUS CHRISTI, TX 78412-5312
(361) 548-6702
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
250467
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP102253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109764404
—
TX
01
—
82464U
BCBSTX
TX
Enumeration date
04/20/2006
Last updated
11/17/2021
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