Individual
MRS. KRYSTAL F SEGANTIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-9152
(956) 661-0529
(956) 618-4639
Mailing address
4900 N MCCOLL RD UNIT 594, MCALLEN, TX 78504-2351
(956) 661-0529
(956) 618-4639
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
87961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
729195
RN
TX
01
—
87961
NBCRNA
TX
Enumeration date
10/27/2011
Last updated
10/27/2011
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