Individual
MIRANDA LEA HOLSONBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1020393
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1020393
TX
Other
Enumeration date
01/09/2025
Last updated
04/23/2025
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