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Individual

MR. JOHN MADISON CARY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4344 FAIRFAX AVE, DALLAS, TX 75205-3027
(214) 557-5597
Mailing address
4344 FAIRFAX AVE, DALLAS, TX 75205-3027
(214) 557-5597

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
693338
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1572273-04
TX
05
157227302
TX
01
83216U
BCBS
TX
01
8937UB
BCBSTX
TX
01
P00059390
RAILROAD
TX
Enumeration date
12/27/2005
Last updated
10/24/2015
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