Mr Selby Reed Thames, CRNA | |
755 N 11th St Ste P3600, Beaumont, TX 77702-1515 | |
(469) 437-3564 | |
(469) 825-6903 |
Full Name | Mr Selby Reed Thames |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 755 N 11th St Ste P3600, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083331599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP1108303 (Texas) | Primary |
Entity Name | Anesthesia Associates Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477078202 PECOS PAC ID: 2264792449 Enrollment ID: O20180208000285 |
Mailing Address | Practice Location Address |
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Mr Selby Reed Thames, CRNA 755 N 11th St Ste P3600, Beaumont, TX 77702-1515 Ph: (469) 437-3564 | Mr Selby Reed Thames, CRNA 755 N 11th St Ste P3600, Beaumont, TX 77702-1515 Ph: (469) 437-3564 |
Mrs. Bonni Blue Stancoven, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Mrs. Ashley Lynn Billot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-838-5214 | |
Steven Chad Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 Fax: 409-838-1946 | |
Derek Chambless, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Thomas Maddox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Keli Ardoin Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P 3600, Beaumont, TX 77702 Phone: 409-838-5214 |