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Organization
RIO GRANDE ANESTHESIA
Active
Organization
RIO GRANDE ANESTHESIA
Active
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
21851
TX
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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