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Individual

MARGARET SPITTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7451 CHAPEL AVE, FORT WORTH, TX 76116-7090
(817) 294-7444
(817) 294-7172
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
421541
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002402802
TX
01
8538U
BLUE SHIELD INDIVIDUAL
TX
01
89680U
BCBS
TX
01
BCBS
89680U
TX
Enumeration date
08/15/2006
Last updated
03/11/2015
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