Individual
ANTHONY M FERRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-0355
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(724) 510-4121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
714305
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN513106L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36750000X
—
TX
01
—
RN513106L
RN LICENSE
PA
Enumeration date
02/13/2006
Last updated
05/26/2015
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