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Individual

MARLENE GAYDER BARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
139968
NC
367500000X
Certified Registered Nurse Anesthetist
540323
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117822
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
430037042
RAILROAD-MEDICARE
NC
05
8051008
NC
Enumeration date
01/24/2007
Last updated
12/07/2021
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