Organization
COBALT BLUE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA MILLER CRNA (SOLE MEMBER)
(972) 668-7460
Entity
Organization
Contact information
Practice address
1324 BROWN ST, #600, WAXAHACHIE, TX 75165-1421
(972) 937-4000
(972) 668-7467
Mailing address
PO BOX T, WAXAHACHIE, TX 75168-1107
(972) 668-7460
(972) 668-7467
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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