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NPI Code Detail

MEDICARE: ERIC ANDREW FLECK CRNA

MEDICARE: ERIC ANDREW FLECK 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 Anesthetist59265NM
2367500000XCertified Registered Nurse AnesthetistAPRN101904WV
3367500000XCertified Registered Nurse Anesthetist1000057TX

General Provider Information

NPI Number : 1164987582
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC ANDREW FLECK CRNA
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 700 SCOTT AND WHITE DR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-6441
Country : US
Telephone Number : 979-207-0100
Fax Number : 979-207-2161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2019
Last Update Date : 01/12/2026

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