Dr Jacob Adam Poore, CRNA | |
18511 Highlander Medics Street, William Beaumont Army Medical Center, Ft. Bliss, TX 79918 | |
(915) 569-3213 | |
Not Available |
Full Name | Dr Jacob Adam Poore |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 18511 Highlander Medics Street, Ft. Bliss, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1598433245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 134142 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2024005892 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Dr Jacob Adam Poore, CRNA 18511 Highlander Medics Street, Ft. Bliss, TX 79918 Ph: (915) 569-3213 | Dr Jacob Adam Poore, CRNA 18511 Highlander Medics Street, William Beaumont Army Medical Center, Ft. Bliss, TX 79918 Ph: (915) 569-3213 |