Robert D Coleman, CRNA | |
815 N Virginia St, Port Lavaca, TX 77979 | |
(361) 573-6291 | |
(361) 576-2434 |
Full Name | Robert D Coleman |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 815 N Virginia St, Port Lavaca, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083658546 | NPI | - | NPPES |
165728002 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 52733 (Texas) | Primary |
Entity Name | Victoria Anesthesiology Assoc Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881709780 PECOS PAC ID: 5395636716 Enrollment ID: O20040323001880 |
Entity Name | Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712 |
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 |
Mailing Address | Practice Location Address |
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Robert D Coleman, CRNA 1501 E Mockingbird Ln Ste 101, Victoria, TX 77904-2178 Ph: (361) 573-6291 | Robert D Coleman, CRNA 815 N Virginia St, Port Lavaca, TX 77979 Ph: (361) 573-6291 |
Mr. Gregory Wade Cowart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-6713 Fax: 361-552-0338 | |
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 |