Mr Gregory Wade Cowart, CRNA | |
815 N Virginia St, Port Lavaca, TX 77979-3025 | |
(361) 552-6713 | |
(361) 552-0338 |
Full Name | Mr Gregory Wade Cowart |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 815 N Virginia St, Port Lavaca, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528070885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 239435 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Gregory Wade Cowart, CRNA 38402 Wildwood Pt, Magnolia, TX 77354-6643 Ph: (713) 302-5036 | Mr Gregory Wade Cowart, CRNA 815 N Virginia St, Port Lavaca, TX 77979-3025 Ph: (361) 552-6713 |
Robert D Coleman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-573-6291 Fax: 361-576-2434 | |
Mr. Mark Neal Gorman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1818 Broadway St, Port Lavaca, TX 77979 Phone: 361-552-3505 |