Individual
MS. HAZEL RUTH FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-2215
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
248905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002993602
—
TX
05
—
002993605
—
TX
01
—
00C38R
BCBSTX
TX
Enumeration date
05/04/2006
Last updated
07/12/2010
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