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Individual
SEAN C VAN RONK
Active
Individual
SEAN C VAN RONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
716370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220336601
—
TX
01
—
220336602
MEDICAID CSHCN
TX
01
—
8936UA
BCBS
TX
01
—
P00956705
RAILROAD MEDICARE
TX
Enumeration date
12/29/2010
Last updated
09/13/2013
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