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ELIZABETH KING COLGLAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1501 BURNET DRIVE, BROWNWOOD, TX 76801
(325) 649-2083
Mailing address
501 COUNTY ROAD 287 N, ZEPHYR, TX 76890-3485
(325) 739-2091
(325) 739-2091

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
571668
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86895U
BCBSTX
TX
Enumeration date
06/26/2006
Last updated
10/29/2007
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