Individual
DR. CRYSTA MARIE COOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-2273
Mailing address
2241 W ROSEDALE ST S, FORT WORTH, TX 76110-1139
(805) 835-1382
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1091954
TX
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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