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Individual

CAREN RUTH BERGDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
100 MCGOWEN ST UNIT J, HOUSTON, TX 77006-1563
(713) 818-6649

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
821111
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
121688
TX

Other

Enumeration date
10/11/2018
Last updated
01/15/2019
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