Healthcare Provider Details

I. General information

NPI: 1407918956
Provider Name (Legal Business Name): DAVID ROYCE ARRINGTON CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1298 FM 49
GILMER TX
75644-7501
US

IV. Provider business mailing address

1298 FM 49
GILMER TX
75644-7501
US

V. Phone/Fax

Practice location:
  • Phone: 903-918-7594
  • Fax:
Mailing address:
  • Phone: 903-918-7594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number613601
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: