MR. Theodore David Haynes JR., CRNA

NPI #1144294158 in Wichita Falls, Texas

Provider Information

NPI Number
1144294158
Entity Type
Individual
Name
MR. Theodore David Haynes JR., CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Feb 15, 2006
Last Updated
Nov 19, 2007

Practice Location

Address
1600 11TH ST
Address 2
DEPT. ANESTHESIA
State
Texas
ZIP Code
76301-4300
Phone
(940) 764-3390

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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