MEDICARE: MS. LOURDES RINON 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
1	367500000X	Certified Registered Nurse Anesthetist	448514	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83822U	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932186921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LOURDES RINON CRNA

Provider Business Mailing Address
First Line	:	13601 PRESTON RD
Second Line	:	SUITE 900W
City	:	DALLAS
State	:	TX
Zip	:	75240-4911
Country	:	US
Telephone Number	:	972-233-1999
Fax Number	:	972-386-4292

Provider Business Practice Location Address
First Line	:	6200 W PARKER RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7939
Country	:	US
Telephone Number	:	972-981-3365
Fax Number	:	972-981-8496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	08/24/2009

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