Healthcare Provider Details

I. General information

NPI: 1881570091
Provider Name (Legal Business Name): AUSTIN WAYNE BARRETT CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4906 AMBASSADOR CAFFERY PKWY BLDG I
LAFAYETTE LA
70508-7013
US

IV. Provider business mailing address

120 CORAL DR
ROCKPORT TX
78382-7146
US

V. Phone/Fax

Practice location:
  • Phone: 855-300-7525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1214895
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: