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Organization
R. KENT CANNADAY, CRNA, PLLC
Active
Organization
R. KENT CANNADAY, CRNA, PLLC
Active
Other names
N / A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY KENT CANNADAY CRNA (OWNER)
(936) 564-7400
Entity
Organization
Contact information
Practice address
3610 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2539
(936) 560-9599
Mailing address
4011 OAK CREEK DR, NACOGDOCHES, TX 75965-6528
(936) 564-7400
(936) 560-0559
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
232573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C38S
BCBS GROUP #
TX
01
—
DC5332
RAIL ROAD MEDICARE
TX
Enumeration date
11/03/2006
Last updated
08/22/2020
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