Deep East Texas Anesthesia
NPI #1942879580 in Nacogdoches, Texas
Provider Information
- NPI Number
- 1942879580
- Entity Type
- Organization
- Organization Name
- Deep East Texas Anesthesia
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jun 18, 2021
- Last Updated
- Aug 10, 2021
Practice Location
- Address
- 4948 NE STALLINGS DR
- City
- Nacogdoches
- State
- Texas
- ZIP Code
- 75965-1265
- Phone
- (936) 568-3595
Authorized Official
- Name
- MICHAEL S BREWTON, CRNA
- Title
- OWNER
- Phone
- (936) 552-4760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Anesthesiology |
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