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Individual

DUSTI L. MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5327 N CENTRAL EXPY, #200, DALLAS, TX 75205-3361
(214) 520-8235
(214) 520-8236
Mailing address
5327 N CENTRAL EXPY, STE 200, DALLAS, TX 75205-3345

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
131106
TX
367500000X
Certified Registered Nurse Anesthetist
R64009
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162552001
AR
01
5Y879
BCBS
AR
Enumeration date
03/23/2006
Last updated
02/07/2017
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