Samuel Kyle Pendleton in Tuscola - Nurse Anesthetist, Certified Registered
Samuel Kyle Pendleton - NPI 1578676946
Samuel Kyle Pendleton is a Nurse Anesthetist, Certified Registered in Tuscola, Texas. Samuel Kyle Pendleton practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Samuel Kyle Pendleton is 1578676946. The last update date is 2007-11-01.
Samuel Kyle Pendleton's current location address is 189 Lake Ridge Rd, Tuscola, Texas. You can contact this provider via phone number 3255724097. The mailing address for Samuel Kyle Pendleton is 189 Lake Ridge Rd, Tuscola, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Kyle Pendleton |
|---|---|
| Address | 189 Lake Ridge Rd, Tuscola, Texas |
| Phone Number | 3255724097 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1578676946 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
| Address | 189 Lake Ridge Rd |
|---|---|
| City | Tuscola |
| State | Texas (TX) |
| Post Code | 795623662 |
| Phone Number | 3255724097 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 674937 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87985U | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Samuel Kyle Pendleton by the Centers for Medicare & Medicaid Services?
The Samuel Kyle Pendleton has been assigned the NPI (National Provider Identifier) 1578676946 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Samuel Kyle Pendleton?
The Samuel Kyle Pendleton is physically situated at 189 Lake Ridge Rd, in the city of Tuscola, state of TX, with the postal code 795623662.
What is Samuel Kyle Pendleton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Samuel Kyle Pendleton's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
On what date did Samuel Kyle Pendleton receive its 1578676946 assignment from the Centers for Medicare & Medicaid Services?
The Samuel Kyle Pendleton was assigned its 1578676946 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Samuel Kyle Pendleton last refreshed?
The information related to the Samuel Kyle Pendleton, including its address, specialty, and other relevant details, was last updated on 2007-11-01.