Healthcare Provider Details

I. General information

NPI: 1730265158
Provider Name (Legal Business Name): ALEINA DEE BARNARD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 CLARKSVILLE ST
PARIS TX
75460-6027
US

IV. Provider business mailing address

4775 COUNTY ROAD 31100
SUMNER TX
75486-5730
US

V. Phone/Fax

Practice location:
  • Phone: 903-785-4521
  • Fax:
Mailing address:
  • Phone: 903-737-0704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number674695
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: