DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WILLIAM JODY CROMWELL SR. CRNA

MEDICARE:   WILLIAM JODY CROMWELL SR. 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 AnesthetistR535672MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21366465502OTHERMSTRACE HOSPITAL NPI

General Provider Information

NPI Number : 1154340776
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JODY CROMWELL SR. CRNA
Provider Business Mailing Address
First Line : 1002 E MADISON ST
Second Line :
City : HOUSTON
State : MS
Zip : 38851-2417
Country : US
Telephone Number : 662-456-1163
Fax Number :
Provider Business Practice Location Address
First Line : 1002 E MADISON ST
Second Line :
City : HOUSTON
State : MS
Zip : 38851-2417
Country : US
Telephone Number : 662-456-1163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 04/17/2014

Similar Medicare Providers

1205802584 — EDWARD KIRKHAM GORE MD
Practice Location Address:
1002 E MADISON ST
HOUSTON, MS
38851-2417
Practice Phone: 662-456-2037
Practice Fax: 662-456-1006
1477594851 — DANNY DEREK LANTRIP NP
Practice Location Address:
1002 E MADISON ST
HOUSTON, MS
38851-2417
Practice Phone: 662-456-2800
Practice Fax: 662-456-1715
1053322842 — NOEL VILLAROSA GARCIA M.D.
Practice Location Address:
1002 E MADISON ST
HOUSTON, MS
38851-2417
Practice Phone: 662-448-6213
Practice Fax: 662-448-6215
1427111210 — DIGESTIVE DISEASE CENTER OF HOUSTON
Practice Location Address:
1002 E MADISON ST
HOUSTON, MS
38851-2417
Practice Phone: 662-456-9203
Practice Fax: 662-456-9206
1295958155 — MADISON EAST INTERNAL MEDICINE LLC
Practice Location Address:
1002 E MADISON ST
HOUSTON, MS
38851-2417
Practice Phone: 662-448-6213
Practice Fax: 662-448-6215
1003096488 — SOUTHERN HEALTH CORP. OF HOUSTON, INC.
Practice Location Address:
1002 E MADISON ST
HOUSTON, MS
38851-2417
Practice Phone: 662-456-1163
Practice Fax: 662-456-1159

Directions to “ WILLIAM JODY CROMWELL SR. CRNA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.