Individual
JASON MD GOLLIHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-4220
(325) 672-8292
Mailing address
3301 S 14TH ST STE 16180, ABILENE, TX 79605-5015
(325) 675-6466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
671993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179150101
—
TX
Enumeration date
08/10/2006
Last updated
09/09/2021
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