MEDICARE: EDUARD EFRALY PINEIRO 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
1	367500000X	Certified Registered Nurse Anesthetist	570760	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82429U	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1326019779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARD EFRALY PINEIRO CRNA

Provider Business Mailing Address
First Line	:	PO BOX 771
Second Line	:
City	:	COLEMAN
State	:	TX
Zip	:	76834-0771
Country	:	US
Telephone Number	:	325-625-1466
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 S PECOS ST
Second Line	:
City	:	COLEMAN
State	:	TX
Zip	:	76834-4159
Country	:	US
Telephone Number	:	325-625-2135
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	07/08/2007

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Directions to “ EDUARD EFRALY PINEIRO CRNA” Practice Location

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