Organization
M K ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALEENA MANOJKUMAR CRNA (OWNER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
844 CENTRAL BLVD STE 280, BROWNSVILLE, TX 78520-7512
(956) 504-5360
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
(817) 294-7172
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
694657
TX
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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