Organization
EMILIA ZELLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIA Z WHITE CRNA (OWNER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
1021 HOLDEN STREET, GLEN ROSE, TX 76043
(254) 897-2215
Mailing address
PO BOX 11219, FORT WORTH, TX 76110-0219
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
459582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208283601
—
TX
Enumeration date
09/13/2006
Last updated
11/04/2010
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