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Organization
SOUTHEAST TEXAS FREELANCE ANESTHESIA PC
Active
Organization
SOUTHEAST TEXAS FREELANCE ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY LEROY ABBEY CRNA (PRESIDENT)
(979) 968-3362
Entity
Organization
Contact information
Practice address
1 SAINT MARKS PL, LA GRANGE, TX 78945-1250
(979) 968-3166
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007123501
—
TX
01
—
00C94C
BCBS
TX
Enumeration date
08/23/2006
Last updated
06/05/2008
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