Judith A Davenport, CRNA | |
5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038-2617 | |
(972) 714-0007 | |
(972) 714-0009 |
Full Name | Judith A Davenport |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 30 Years |
Location | 5605 N Macarthur Blvd, Irving, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083719272 | NPI | - | NPPES |
7419463831 | Other | TX | TAX ID |
83562U | Other | TX | BCBS |
81143U | Other | TX | BCBS |
83892U | Other | TX | BCBS |
85385U | Other | TX | BCBS |
88421C | Other | TX | BCBS |
089061804 | Medicaid | TX | |
113718318 | Other | TX | TAX ID |
562365185 | Other | TX | TAX ID |
743018935 | Other | TX | TAX ID NO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 508432 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endo Sedation Llc | 4789845363 | 291 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Entity Name | Gcsa Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184017741 PECOS PAC ID: 8729392667 Enrollment ID: O20150805007675 |
Mailing Address | Practice Location Address |
---|---|
Judith A Davenport, CRNA 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038-2617 Ph: (972) 714-0007 | Judith A Davenport, CRNA 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038-2617 Ph: (972) 714-0007 |
Phillip Howard Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Dr. Robert Louis Delillo, DNP, CRNA, NSPM-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 220 O Connor Ridge Blvd Ste 105, Irving, TX 75038 Phone: 214-560-2000 Fax: 214-560-2555 | |
Deborah R. Grieder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Carolyn Bea Watts, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Sara Morgan Benson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Brian Boone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 |