York Shane Johnson CRNA

NPI 1063401909 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063401909
Gender Male
Enumeration Date 10/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
600 ELIZABETH ST
CORPUS CHRISTI TX, 78404-2235, US
Phone (361) 881-3000
Fax
Business Location
15226 CANE HARBOR BLVD
CORPUS CHRISTI TX, 78418-7600, US
Phone (361) 739-5203
Fax
Toxanomy
Taxonomy Code 367500000X
License State Texas
License Number 638595
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According to our database, Mr. York Shane Johnson CRNA NPI is 1063401909, taxonomy code is 367500000X and license number is 638595, license state is located at Texas. York Shane Johnson CRNA physically located at 600 Elizabeth St, Corpus Christi TX, 78404-2235. NPI Number York Shane Johnson CRNA has the Individual type.

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1063401909 NPI number is provided on an as is basis without warranty of any kind. 1063401909 is maintained by the National Plan & Provider Enumeration System. The contents of York Shane Johnson CRNA are for informational purposes only.