Individual
KRISTEN R GUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7777
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7777
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
637621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173092101
—
TX
Enumeration date
10/18/2005
Last updated
10/05/2016
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