Individual
DARYL JOHN MAGOULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
107747
KY
367500000X
Certified Registered Nurse Anesthetist
127966
TN
367500000X
Certified Registered Nurse Anesthetist
2976A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
635517
TX
Other
Enumeration date
09/29/2006
Last updated
01/27/2022
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