John Edward Dulaveris in Texarkana - Nurse Anesthetist, Certified Registered

John Edward Dulaveris - NPI 1164496022

John Edward Dulaveris is a Nurse Anesthetist, Certified Registered in Texarkana, Texas. John Edward Dulaveris practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for John Edward Dulaveris is 1164496022. The last update date is 2014-10-02.

John Edward Dulaveris's current location address is 6402 Lost Creek Dr, Texarkana, Texas. You can contact this provider via phone number 9795571555. The mailing address for John Edward Dulaveris is 6402 Lost Creek Dr, Texarkana, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edward Dulaveris
Address 6402 Lost Creek Dr, Texarkana, Texas
Phone Number 9795571555
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1164496022
Provider Enumeration Date 2006-02-15
Last Updated Date 2014-10-02

Provider Mailing Address Detail

Address 6402 Lost Creek Dr
City Texarkana
State Texas (TX)
Post Code 755030902
Phone Number 9795571555
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 599388
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
367500000X GA TRICARE

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FAQs about John Edward Dulaveris

What is the unique identifier code issued to John Edward Dulaveris by the Centers for Medicare & Medicaid Services (CMS)?

The John Edward Dulaveris has been assigned the NPI (National Provider Identifier) 1164496022. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where John Edward Dulaveris is geographically located?

The John Edward Dulaveris is physically situated at the following location: 6402 Lost Creek Dr, Texarkana, TX, 755030902.

What is the John Edward Dulaveris's specialty and taxonomy code?

The John Edward Dulaveris's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164496022 to John Edward Dulaveris?

The Centers for Medicare & Medicaid Services originally issued the 1164496022 to John Edward Dulaveris on 2006-02-15.

As of what date was the information regarding John Edward Dulaveris, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Edward Dulaveris, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-02.

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