Individual
MEAGAN NICHOLE DOLEZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7100 W 9TH AVE, AMARILLO, TX 79106-1704
(806) 355-9595
Mailing address
2604 DUNCAN DR, AMARILLO, TX 79109-3410
(806) 679-4637
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
TEXAS MEDICARE
TX
Enumeration date
03/23/2021
Last updated
03/23/2021
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