Individual
CARLA GROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13737 NOEL RD, STE1400, DALLAS, TX 75240-2004
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
01451
TX
367500000X
Certified Registered Nurse Anesthetist
C01451
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155807701
—
AR
05
—
200395020A
—
OK
05
—
285618901
—
TX
01
—
8022UC
BCBS
TX
01
—
P01002876
RAILROAD
TX
Enumeration date
04/27/2006
Last updated
05/21/2014
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