Individual
MRS. PATRICIA M. GOTTSCHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5323 HARRY HINES BLVD, 108, DALLAS, TX 75390-7201
(214) 645-0355
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(214) 645-0355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
591153
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
789032
TX
367500000X
Certified Registered Nurse Anesthetist
NA811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283813201
—
TX
01
—
8812UB
BCBS
TX
01
—
P00983528
RAILROAD
TX
Enumeration date
07/03/2006
Last updated
05/05/2020
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