Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1467450619
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4100, Summerhill Road, Texarkana, Bowie County, Texas, 75503, United States
TEXARKANA, TX 755032732
Phone: (903) 735-9802
Fax: (903) 735-9806
Type: Mailing
2600 Saint Michael Dr
Texarkana, TX 755032372
Phone: (903) 614-2595
Type: Location
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 75503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | TX | 00142 | Anesthesia for lens surgery | 46 | 46 |
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