Individual
KATY BAGWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 E LAMAR BLVD, ARLINGTON, TX 76006-7346
(940) 531-0376
Mailing address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-5846
(432) 221-1111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
780188
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP124920
TX
Other
Enumeration date
12/23/2013
Last updated
09/08/2020
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