Richard Holyfield, | |
411 N Belknap St, Stephenville, TX 76401-3415 | |
(254) 965-1500 | |
Not Available |
Full Name | Richard Holyfield |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 411 N Belknap St, Stephenville, 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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1013781996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1153478 (Texas) | Primary |
163W00000X | Registered Nurse | RN9559153 (Florida) | Secondary |
Entity Name | Northstar Anesthesia Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
Mailing Address | Practice Location Address |
---|---|
Richard Holyfield, 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Richard Holyfield, 411 N Belknap St, Stephenville, TX 76401-3415 Ph: (254) 965-1500 |
Michael E Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 411 N Belknap St, Stephenville, TX 76401 Phone: 254-965-2663 | |
Edna G. Waterlander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 River North Blvd, Stephenville, TX 76401 Phone: 254-965-7020 |