Individual
ORNANONG CHARUWORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
428116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002785610
—
TX
01
—
8966UG
BCBS
TX
01
—
P01445863
RAILROAD
TX
Enumeration date
12/19/2005
Last updated
06/05/2018
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