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Individual

AMY D CRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
13601 PRESTON RD, STE 1000W, DALLAS, TX 75240-4911
(972) 663-8523
(972) 663-8329
Mailing address
700 HOLLAND DR, DENISON, TX 75020-4048
(214) 903-9787

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
679937
TX
367500000X
Certified Registered Nurse Anesthetist
95279
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200350010A
OK
05
210740102
TX
01
8807UB
BCBS
TX
01
P00983545
RAILROAD
TX
Enumeration date
01/19/2010
Last updated
03/03/2017
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