Individual
KIMBERLY D NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 STADIUM DR, SEYMOUR, TX 76380-2344
(940) 889-5572
(940) 889-3337
Mailing address
200 STADIUM DR, SEYMOUR, TX 76380-2344
(940) 889-5572
(940) 889-3337
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
502061
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309174603
—
TX
Enumeration date
01/20/2012
Last updated
04/28/2022
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