Raymond J Broadbent CRNA

NPI 1609892850 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1609892850
Gender Male
Enumeration Date 07/14/2006
Last Updated 10/26/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
15862 STATE HIGHWAY 110 N
LINDALE TX, 75771-5932, US
Phone (903) 939-7000
Fax
Business Location
129 IDAHO STREET
VAN TX, 75790, US
Phone (903) 963-1685
Fax
Toxanomy
Taxonomy Code 367500000X
License State Texas
License Number 529805
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According to our database, Raymond J Broadbent CRNA NPI is 1609892850, taxonomy code is 367500000X and license number is 529805, license state is located at Texas. Raymond J Broadbent CRNA physically located at 15862 State Highway 110 N, Lindale TX, 75771-5932. NPI Number Raymond J Broadbent CRNA has the Individual type.

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1609892850 NPI number is provided on an as is basis without warranty of any kind. 1609892850 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond J Broadbent CRNA are for informational purposes only.