Healthcare Provider Details

I. General information

NPI: 1194370486
Provider Name (Legal Business Name): BRIAN ALBRIGHT CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18511 HIGHLANDER MEDICS ST
FORT BLISS TX
79906-5327
US

IV. Provider business mailing address

7343 GULF CREEK DR
EL PASO TX
79911-3032
US

V. Phone/Fax

Practice location:
  • Phone: 717-226-6952
  • Fax:
Mailing address:
  • Phone: 717-226-6952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP143064
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: