MEDICARE: STEVEN P EBY 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	747513	TX
2	367500000X	Certified Registered Nurse Anesthetist	RN00092141	WA

General Provider Information

NPI Number	:	1508857988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN P EBY CRNA

Provider Business Mailing Address
First Line	:	8216 MIDWAY DEPOT
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-2258
Country	:	US
Telephone Number	:	210-319-0342
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 NAVARRO ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-2516
Country	:	US
Telephone Number	:	210-319-0342
Fax Number	:

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	03/17/2009

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Directions to “ STEVEN P EBY CRNA” Practice Location

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