Individual
NICOLE CHRISTINE ERLACH HERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7115 GREENVILLE AVE, DALLAS, TX 75231-5100
(214) 647-5300
Mailing address
6008 GOLIAD AVE, DALLAS, TX 75206-6822
(415) 225-7277
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AP159651
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
123639
TX
Other
Enumeration date
11/19/2018
Last updated
06/13/2023
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