Individual
AMANI PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 HIGHLAND DR, KILGORE, TX 75662-3963
(903) 519-3954
Mailing address
625 HIGHLAND DR, KILGORE, TX 75662-3963
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
990283
TX
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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