Organization
MARY HALL CRNA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BERAN CRNA (OWNER)
(972) 668-7460
Entity
Organization
Contact information
Practice address
1501 REDBUD BLVD, MCKINNEY, TX 75069-3226
(972) 668-7460
Mailing address
7117 BENTLEY AVE, FORT WORTH, TX 76137-3336
(972) 668-7460
(972) 474-3423
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
08/09/2023
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