Kendal W Miller, CRNA | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(210) 916-9588 | |
Not Available |
Full Name | Kendal W Miller |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053625426 | NPI | - | NPPES |
2125630 | Medicaid | LA | |
1053625426 | Other | LA | BCBS OF LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP06178 (Louisiana) | Primary |
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
Entity Name | Medical Center Of Louisiana At New Orleans |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083655567 PECOS PAC ID: 6305732561 Enrollment ID: O20040224001335 |
Entity Name | Northlake Anesthesiologists, A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306949185 PECOS PAC ID: 3072597681 Enrollment ID: O20040614000209 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
Entity Name | Zephyr Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
Entity Name | University Medical Center Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137 |
Entity Name | Gastro Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609253442 PECOS PAC ID: 9638483944 Enrollment ID: O20150730013027 |
Mailing Address | Practice Location Address |
---|---|
Kendal W Miller, CRNA 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-7445 | Kendal W Miller, CRNA 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-9588 |
Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-223-6272 | |
Dr. Adam Sokolowski, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8216 | |
Matthew Wayne Mcgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Mrs. Debra Valdivieso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9404 | |
Heather Sherman Leal, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8534 | |
George C May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588 |