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NPI Code Detail

MEDICARE: CAROL ANN BELTRAN CRNA

MEDICARE: CAROL ANN BELTRAN CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist510535TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033108162
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL ANN BELTRAN CRNA
Provider Business Mailing Address
First Line : PO BOX 1849
Second Line :
City : PALESTINE
State : TX
Zip : 75802-1849
Country : US
Telephone Number : 903-677-1000
Fax Number : 903-677-5586
Provider Business Practice Location Address
First Line : 600 S BONHAM ST
Second Line :
City : MEXIA
State : TX
Zip : 76667-3603
Country : US
Telephone Number : 254-562-5332
Fax Number : 903-677-5586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 03/31/2010

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Directions to “ CAROL ANN BELTRAN CRNA” Practice Location

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