Individual
KATHLEEN TYNAN HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
3706 HUNTERS POINT ST, SAN ANTONIO, TX 78230-1934
(210) 492-0938
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
223219
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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