Individual
CARSON MARIE CASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
401 FOCH ST APT 1253, FORT WORTH, TX 76107-2576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
857762
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140506
TX
Other
Enumeration date
10/09/2018
Last updated
09/09/2020
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