Jericho Gerald Joseph Loupe, CRNA

NPI #1992908321 in San Marcos, Texas

Provider Information

NPI Number
1992908321
Entity Type
Individual
Name
Jericho Gerald Joseph Loupe, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jun 5, 2007
Last Updated
Sep 17, 2013

Practice Location

Address
1305 WONDER WORLD DR STE 105
Address 2
YPS-CREDENTIALING
State
Texas
ZIP Code
78666-7502
Phone
(512) 353-8161

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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