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Organization
SAB ANESTHESIA, PLLC
Active
Organization
SAB ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BRACKEN (CRNA)
(915) 544-3636
Entity
Organization
Contact information
Practice address
5959 GATEWAY BLVD W, SUITE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 779-1754
Mailing address
5959 GATEWAY BLVD W, SUITE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 779-1754
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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