DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HARTINI GELLANG CRNA

MEDICARE:   HARTINI  GELLANG  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 Anesthetist1071479TX

General Provider Information

NPI Number : 1992451504
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARTINI GELLANG CRNA
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 700 SCOTT AND WHITE DR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-6441
Country : US
Telephone Number : 979-207-0100
Fax Number : 979-207-2161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2022
Last Update Date : 05/29/2026

Similar Medicare Providers

1710073937 — DR. RODNEY ALAN LIGHT MD
Practice Location Address:
700 SCOTT AND WHITE DR
COLLEGE STATION, TX
77845-6441
Practice Phone: 979-207-0100
Practice Fax: 979-207-2161
1083543102 — SCOTT & WHITE HOSPITAL - COLLEGE STATION
Practice Location Address:
700 SCOTT AND WHITE DR
COLLEGE STATION, TX
77845-6441
Practice Phone: 979-207-0100
Practice Fax:
1215261623 — DR. GYONGYI OKECHUKU MD
Practice Location Address:
700 SCOTT AND WHITE DR
COLLEGE STATION, TX
77845-6441
Practice Phone: 970-207-0100
Practice Fax: 979-207-2162
1619319324 — MELISSA WEAVER CRNA
Practice Location Address:
700 SCOTT AND WHITE DR
COLLEGE STATION, TX
77845-6441
Practice Phone: 979-207-0100
Practice Fax:
1134125305 — BEN L SUEOKA M.D.
Practice Location Address:
700 SCOTT AND WHITE DR
COLLEGE STATION, TX
77845-6441
Practice Phone: 979-207-0100
Practice Fax:
1689673162 — MR. ROBERT C ERVIN ENP, CRNA
Practice Location Address:
700 SCOTT AND WHITE DR
COLLEGE STATION, TX
77845-6441
Practice Phone: 254-724-2111
Practice Fax:

Directions to “ HARTINI GELLANG CRNA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.