Desmond M Tillery in Plano - Nurse Anesthetist, Certified Registered

Desmond M Tillery - NPI 1386615953

Desmond M Tillery is a Nurse Anesthetist, Certified Registered in Plano, Texas. Desmond M Tillery practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Desmond M Tillery is 1386615953. The last update date is 2023-11-18.

Desmond M Tillery's current location address is P O Box 869373, Plano, Texas. You can contact this provider via phone number 9727583598. The mailing address for Desmond M Tillery is P O Box 869373, Plano, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Desmond M Tillery
Address P O Box 869373, Plano, Texas
Phone Number 9727583598
Fax Number
Sole Proprietor X
Credentials CRNA

NPI Number Detail

NPI Number 1386615953
Provider Enumeration Date 2006-01-31
Last Updated Date 2023-11-18

Provider Mailing Address Detail

Address P O Box 869373
City Plano
State Texas (TX)
Post Code 75086
Phone Number 9727583598
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 684085
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
84956U TX BCBS

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FAQs about Desmond M Tillery

What is the unique identification code assigned to Desmond M Tillery by the Centers for Medicare & Medicaid Services?

The Desmond M Tillery has been issued the NPI (National Provider Identifier) 1386615953. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Desmond M Tillery is physically located?

The Desmond M Tillery is situated at the following address: P O Box 869373, Plano, TX 75086.

What is Desmond M Tillery's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Desmond M Tillery is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.

When was the Desmond M Tillery's 1386615953 issued?

The Desmond M Tillery's 1386615953 was issued on 2006-01-31.

When was the information pertaining to Desmond M Tillery most recently updated or revised?

The details related to Desmond M Tillery, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-18.

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