Charles Richard Fox CRNA

NPI 1083606537 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1083606537
Gender Male
Enumeration Date 08/19/2005
Last Updated 10/03/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
520 E 6TH ST
ODESSA TX, 79761-4527, US
Phone (432) 334-8088
Fax (432) 580-7202
Business Location
PO BOX 1226
ODESSA TX, 79760-1226, US
Phone (432) 334-8088
Fax (432) 580-7202
Toxanomy
Taxonomy Code 367500000X
License State Texas
License Number 224868
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According to our database, Charles Richard Fox CRNA NPI is 1083606537, taxonomy code is 367500000X and license number is 224868, license state is located at Texas. Charles Richard Fox CRNA physically located at 520 E 6th St, Odessa TX, 79761-4527. NPI Number Charles Richard Fox CRNA has the Individual type.

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1083606537 NPI number is provided on an as is basis without warranty of any kind. 1083606537 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Richard Fox CRNA are for informational purposes only.