Walker Anesthesia Services, Pllc

NPI 1053719542 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1053719542
Enumeration Date 12/15/2014
Last Updated 12/15/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RICHARD GLENN RICHARD
Position PRESIDENT
Phone (432) 520-0291
Fax (432) 520-2723
Practice Location
4519 N GARFIELD ST
SUITE 15
MIDLAND TX, 79705-3415, US
Phone (432) 520-0291
Fax (432) 520-2723
Business Location
1513 CLUB DR
MIDLAND TX, 79701-2630, US
Phone (432) 488-6909
Fax (432) 520-2723
Toxanomy
Taxonomy Code 367500000X
License State Illinois
License Number 30256
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According to our database, Walker Anesthesia Services, Pllc NPI is 1053719542, taxonomy code is 367500000X and license number is 30256, license state is located at Illinois. Walker Anesthesia Services, Pllc physically located at 4519 N Garfield St, Midland TX, 79705-3415. NPI Number 1033115704 has the healthcare provider type.

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1053719542 NPI number is provided on an as is basis without warranty of any kind. 1053719542 is maintained by the National Plan & Provider Enumeration System. The contents of Walker Anesthesia Services, Pllc are for informational purposes only.