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NPI Code Detail

MEDICARE: JOEL J SCHRETENTHALER CRNA

MEDICARE: JOEL J SCHRETENTHALER CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist550463TX
2367500000XCertified Registered Nurse AnesthetistAP109455TX

General Provider Information

NPI Number : 1144288838
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL J SCHRETENTHALER CRNA
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 700 MEDICAL PKWY
Second Line :
City : BRENHAM
State : TX
Zip : 77833-5413
Country : US
Telephone Number : 979-836-6173
Fax Number : 979-830-2277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 05/25/2022

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Directions to “ JOEL J SCHRETENTHALER CRNA” Practice Location

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