Individual
AUDREY R. COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5701 CONVEYOR DR, CLEBURNE, TX 76031-0996
(817) 937-9518
Mailing address
5701 CONVEYOR DR, CLEBURNE, TX 76031-0996
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
652302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89162U
BCBS
—
Enumeration date
02/02/2006
Last updated
11/26/2008
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