Individual
CAROLYN J TOULOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-2667
Mailing address
PO BOX 50667, AMARILLO, TX 79159-0667
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
542969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153601
—
TX
Enumeration date
07/26/2006
Last updated
02/05/2009
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