Individual
KARIN A MANIKTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9068
(214) 648-7833
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-7833
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
759278
TX
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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