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NPI Code Detail

MEDICARE: JOYCE PERKINS CRNA

MEDICARE:   JOYCE  PERKINS  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 Anesthetist576796TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2430026125OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38075UUOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1164409835
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE PERKINS CRNA
Provider Business Mailing Address
First Line : 2411 FOUNTAIN VIEW DR STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77057-4832
Country : US
Telephone Number : 713-620-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2411 FOUNTAIN VIEW DR STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77057-4832
Country : US
Telephone Number : 713-620-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 06/08/2009

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Directions to “ JOYCE PERKINS CRNA” Practice Location

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