Kendall C Miller, CRNA | |
1737 Briarcrest Dr, Ste 14, Bryan, TX 77802-2739 | |
(979) 776-4777 | |
(979) 776-0588 |
Full Name | Kendall C Miller |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1737 Briarcrest Dr, Bryan, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780751107 | NPI | - | NPPES |
HBPTO | Other | ID | BLUE CROSS |
M8068633 | Medicaid | ID | |
000010146567 | Other | ID | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP111279 (Texas) | Primary |
Entity Name | Austin Anesthesiology Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
Mailing Address | Practice Location Address |
---|---|
Kendall C Miller, CRNA 1737 Briarcrest Dr, Ste 14, Bryan, TX 77802-2739 Ph: (979) 776-4777 | Kendall C Miller, CRNA 1737 Briarcrest Dr, Ste 14, Bryan, TX 77802-2739 Ph: (979) 776-4777 |
Shelly Rene Eriksson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Marjorie Shenkir, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Max T Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Brant Christopher Langlinais, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Kelly Lynn Sampson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Stephen Hays, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Crystal Michelle Price, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 |