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NPI Code Detail

MEDICARE: JAMES A FRAZIER CRNA

MEDICARE: JAMES A FRAZIER 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 AnesthetistAO04377LA
2367500000XCertified Registered Nurse Anesthetist714776TX

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 : 1841398294
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES A FRAZIER CRNA
Provider Business Mailing Address
First Line : PO BOX 18104
Second Line :
City : SUGAR LAND
State : TX
Zip : 77496-8104
Country : US
Telephone Number : 409-347-7250
Fax Number :
Provider Business Practice Location Address
First Line : 1400 HWY 59 LOOP N
Second Line :
City : WHARTON
State : TX
Zip : 77488-7807
Country : US
Telephone Number : 979-532-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 06/22/2012

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