Roman Shawn Bagwell CRNA

NPI 1689618787 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1689618787
Gender Male
Enumeration Date 06/16/2006
Last Updated 12/08/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
800 E DAWSON ST
TYLER TX, 75701-2036, US
Phone (903) 531-4500
Fax
Business Location
PO BOX 841656
DALLAS TX, 75284-1656, US
Phone (903) 531-5000
Fax
Toxanomy
Taxonomy Code 367500000X
License State Texas
License Number 727514
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According to our database, Roman Shawn Bagwell CRNA NPI is 1689618787, taxonomy code is 367500000X and license number is 727514, license state is located at Texas. Roman Shawn Bagwell CRNA physically located at 800 E Dawson St, Tyler TX, 75701-2036. NPI Number Roman Shawn Bagwell CRNA has the Individual type.

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1689618787 NPI number is provided on an as is basis without warranty of any kind. 1689618787 is maintained by the National Plan & Provider Enumeration System. The contents of Roman Shawn Bagwell CRNA are for informational purposes only.