Organization
JACOB CHRISTOPHER CARUSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB CHRISTOPHER CARUSO (CRNA)
(256) 714-8656
Entity
Organization
Contact information
Practice address
1801 INWOOD RD, DALLAS, TX 75235-7202
(214) 645-3300
Mailing address
12106 STONEY POND, SAN ANTONIO, TX 78247-4939
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP126421
TX
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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