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NPI Code Detail

MEDICARE: FLATASHA ALLEAN ROLAND CRNA

MEDICARE:   FLATASHA ALLEAN ROLAND  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist743412TX
2207L00000XAnesthesiology Physician743412TX

General Provider Information

NPI Number : 1083959837
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLATASHA ALLEAN ROLAND CRNA
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-5347
Country : US
Telephone Number : 469-291-3369
Fax Number : 469-645-0078
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-0001
Country : US
Telephone Number : 214-645-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2012
Last Update Date : 05/07/2026

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Directions to “ FLATASHA ALLEAN ROLAND CRNA” Practice Location

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