Individual
MAXIE D POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
3301 SAN NICOLAS ST, MISSION, TX 78573-8466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
590711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88624U
BCBS
TX
Enumeration date
05/05/2006
Last updated
05/20/2008
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