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Individual

MRS. DIXIE BESONGAYAH ASHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4500
(210) 567-0083
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4500
(210) 567-0083

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP141927
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
401402901
TX
01
401402902
CSHCN
TX
Enumeration date
06/21/2019
Last updated
10/02/2019
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