Individual
ELENA MADHABHUSHANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-9409
Mailing address
6304 WINDCREST DR, APT 313, PLANO, TX 75024-3017
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
900375
TX
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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