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NPI Code Detail

MEDICARE: KEVIN W CATON CRNA

MEDICARE: KEVIN W CATON 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 Anesthetist606119TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184989UOTHERTXBLUE CROSS
299692OTHERARBLUE CROSS

General Provider Information

NPI Number : 1043218548
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN W CATON CRNA
Provider Business Mailing Address
First Line : 160 TIMBER CREEK DR
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-3681
Country : US
Telephone Number : 903-885-9097
Fax Number : 903-885-1052
Provider Business Practice Location Address
First Line : 115 AIRPORT RD
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-2105
Country : US
Telephone Number : 903-885-9758
Fax Number : 903-885-1052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/17/2007

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