Derek Mitchum Lebron-frank, CRNA | |
18511 Highlander Medics Street, Wbamc, Fort Bliss, TX 79918 | |
(915) 569-3213 | |
Not Available |
Full Name | Derek Mitchum Lebron-frank |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 18511 Highlander Medics Street, Fort Bliss, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710654074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 133873 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1068499 (Texas) | Primary |
Entity Name | Texas Ams Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174926125 PECOS PAC ID: 9133441769 Enrollment ID: O20141209001912 |
Mailing Address | Practice Location Address |
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Derek Mitchum Lebron-frank, CRNA 6033 Los Pueblos Dr, El Paso, TX 79912-7516 Ph: (719) 209-2446 | Derek Mitchum Lebron-frank, CRNA 18511 Highlander Medics Street, Wbamc, Fort Bliss, TX 79918 Ph: (915) 569-3213 |
Mr. Keith W Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-742-9897 | |
Kerollos Mina George Girgis, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-569-3213 | |
Jeanette Rodriguez-torres, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-300-7310 | |
David James Romaka, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-356-0377 |