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Individual
MR. RODNEY JAMES BREAUX
Active
Individual
MR. RODNEY JAMES BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN658793
TX
367500000X
Certified Registered Nurse Anesthetist
050291
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
109462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002352503
—
TX
01
—
82688U
BCBS
TX
Enumeration date
06/20/2006
Last updated
11/06/2019
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