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Physician Compare National (NPI:1922064310)

HEALTHCARE PROVIDER: PAUL ROBERT MYERS CRNA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1922064310
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4587640024
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040625000853
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MYERS
Individual professional last name
Provider First Name PAUL
Individual professional first name
Provider Middle Name R
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text CNA
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name BAYLOR COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 2003
Individual professional's medical school graduation year
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name AVAIL ANESTHESIA ASSOCIATES
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2668731175
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 26710 INTERSTATE 45
Group Practice or individual's line 1 address
Line 2 Street Address SUITE B100
Group Practice or individual's line 2 address
City SPRING
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 773861019
Group Practice or individual's zip code (9 digits when available)
Phone Number 2814191117
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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