is a Anesthesiologist Assistant in , . practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for is 1346390861. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346390861 |
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Provider Mailing Address Detail
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| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
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| Taxonomy | 367H00000X |
| Licence No | 610 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00116570 | TX | RAILROAD MEDICARE | |
| 359144801 | TX | -- |
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