Individual
ADRIENNE CLARK STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
2000 E LAMAR BLVD, ARLINGTON, TX 76006-7346
(817) 861-3994
Mailing address
601 ELM HILL BLVD, BURLESON, TX 76028-7670
(817) 691-2109
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
632098
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
079563
TX
Other
Enumeration date
08/31/2006
Last updated
01/24/2014
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