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Individual

MARSHA M. VAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 343-2292
(512) 343-2745
Mailing address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 343-2292
(512) 343-2745

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
032852
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0021719-04
TX
01
87218U
BCBS OF TX
TX
Enumeration date
06/09/2006
Last updated
06/04/2008
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