Individual
MARCIA G NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7900 FM 1826, AUSTIN, TX 78737-1407
(512) 324-7000
Mailing address
7900 FM 1826, AUSTIN, TX 78737-1407
(512) 324-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152137901
—
TX
05
—
1528041993
—
TX
01
—
82435U
BC/BS
TX
Enumeration date
11/21/2005
Last updated
07/21/2022
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