NPI 1013994110

Patricia L. Gillum, CRNA

Practitioner Certified Registered Nurse Anesthetist Fort Worth, TX

Practice location

Address: 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122
Phone: (817) 882-3680
Fax: (817) 878-5135
Mailing address: 4245 Oak Park CT, Fort Worth, TX 76109-9552

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 221908 (TX)

Other Nurse Anesthetist, Certified Registered providers in Texas →

Registry record

NPI: 1013994110
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2005
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.