Individual
NUNGCOOL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(469) 774-1171
Mailing address
3209 CLEARVIEW CIR, HOUSTON, TX 77025-5931
(469) 774-1171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1152281
TX
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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