Individual
CRYSTAL VICARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-1417
Mailing address
1613 HARRISON PKWY, SUITE 200, SUNRISE, FL 33323-2896
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
744850
TX
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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