Individual
MARSHA LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-0325
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP112817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171166501
—
TX
05
—
171166503
—
TX
01
—
83834U
BLUE CROSS PROVIDER ID
TX
01
—
P00197296
RAILROAD MEDICARE
—
Enumeration date
01/11/2007
Last updated
03/02/2017
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