Individual
NICHOLAS TERRY ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3705 MEDICAL PKWY STE 570, AUSTIN, TX 78705
(512) 454-2554
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP134143
TX
Other
Enumeration date
07/19/2017
Last updated
06/26/2018
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