Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1033121314
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Memorial Medical Center, 815, North Virginia Street, Port Lavaca, Calhoun County, Texas, 77979, United States
PORT LAVACA, TX 779793025
Phone: (361) 552-6713
Fax: (361) 552-0338
Type: Location
545, Brookhollow Drive, Port Lavaca, Calhoun County, Texas, 77979, United States
PORT LAVACA, TX 779792301
Phone: (361) 552-1587
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77979)
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