Genesis Anesthesia, Pllc

NPI #1174974133 in Kaufman, Texas

Provider Information

NPI Number
1174974133
Entity Type
Organization
Organization Name
Genesis Anesthesia, Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jun 30, 2016
Last Updated
Jun 30, 2016

Practice Location

Address
850 ED HALL DR
State
Texas
ZIP Code
75142-1861
Phone
(972) 932-7344

Authorized Official

Name
THEODOOR CHRISTIAAN HANCKE, CRNA
Title
GROUP PRESIDENT
Phone
(817) 529-2650

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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