Individual
KATHERINE TAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN277836
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
1190711
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2022
Last updated
03/26/2025
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