Individual
MARY ALICE MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
14850 QUORUM DR STE 400, DALLAS, TX 75254-1445
(469) 437-3564
(469) 825-6903
Mailing address
14850 QUORUM DR STE 400, DALLAS, TX 75254-1445
(469) 437-3564
(469) 825-6903
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
869691
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
869691
TX
Other
Enumeration date
10/12/2020
Last updated
04/03/2025
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