Organization
AMY M ICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMY M ICE CRNA (PRESIDENT)
(432) 697-5865
Entity
Organization
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
01/06/2010
Last updated
12/28/2012
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