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Individual

DONNA R ROCKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA,PC

Contact information

Practice address
6110 SHERRY LN HIGHLAND PARK PLASTIC SURGERY CENTER, DALLAS, TX 75225
(817) 929-4471
Mailing address
PO BOX 292968, LEWISVILLE, TX 75029-2968
(866) 397-4219
(940) 458-2902

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
32072
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CRD0RF576
TX
01
RF57
BLUE CROSS
TX
Enumeration date
04/06/2007
Last updated
07/08/2007
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