Individual
DANTRI STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 4TH ST, STE. 1B350K, LUBBOCK, TX 79430-8182
(806) 743-2981
(806) 743-2984
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
756910
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
756910
TX
Other
Enumeration date
01/21/2014
Last updated
02/12/2014
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