Individual
MARY LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA-DNP
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
367500000X
Certified Registered Nurse Anesthetist
Primary
797862
TX
Other
Enumeration date
03/02/2016
Last updated
03/08/2016
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