Individual
MARTHA ELLAN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 808-3458
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 808-2348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
085328
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
1073710
TX
Other
Enumeration date
05/22/2009
Last updated
08/25/2023
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