Individual
MRS. ANNA VLADIMIROVNA DAVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-2118
Mailing address
1111 AUSTIN HWY APT 2109, SAN ANTONIO, TX 78209-4842
(863) 255-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
868890
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127182
TX
367500000X
Certified Registered Nurse Anesthetist
RN648343
PA
Other
Enumeration date
04/24/2013
Last updated
10/28/2019
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