Mrs Carrie Lynn Green, CRNA | |
1100 Wilford Hall Loop,bldg 4554 Attn: 59 Mdw/sghc, Jbsa Lackland, Tx, TX 78236-9908 | |
(210) 292-5596 | |
Not Available |
Full Name | Mrs Carrie Lynn Green |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1100 Wilford Hall Loop,bldg 4554 Attn: 59 Mdw/sghc, Jbsa Lackland, Tx, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326011479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 550629 (Texas) | Primary |
Entity Name | Youngs Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
Entity Name | Texas Ams Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174926125 PECOS PAC ID: 9133441769 Enrollment ID: O20141209001912 |
Entity Name | Emergenchealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Entity Name | Cpr Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326436353 PECOS PAC ID: 7416272927 Enrollment ID: O20201222000543 |
Entity Name | Azura Anesthesia Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528669728 PECOS PAC ID: 6608281167 Enrollment ID: O20230110002180 |
Mailing Address | Practice Location Address |
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Mrs Carrie Lynn Green, CRNA Po Box 821, Utopia, TX 78884-0821 Ph: (830) 966-2455 | Mrs Carrie Lynn Green, CRNA 1100 Wilford Hall Loop,bldg 4554 Attn: 59 Mdw/sghc, Jbsa Lackland, Tx, TX 78236-9908 Ph: (210) 292-5596 |