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Organization
RG HARDAWAY, INC.
Active
Organization
RG HARDAWAY, INC.
Active
Other names
RIO GRANDE ANESTHESIA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL G HARDAWAY CRNA (PRESIDENT)
(915) 577-0111
Entity
Organization
Contact information
Practice address
7717 LOCKHEED DR STE E, EL PASO, TX 79925-2437
(915) 577-0111
(915) 533-2568
Mailing address
7717 LOCKHEED DR STE E, EL PASO, TX 79925-2437
(915) 577-0111
(915) 533-2568
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C65S
BX PROVIDER NUMBER
TX
Enumeration date
09/11/2006
Last updated
08/22/2020
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