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Organization
TRIDENT ANESTHESIA LLC
Active
Organization
TRIDENT ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ADAM CHAUCER CRNA (MANAGER)
(817) 727-0985
Entity
Organization
Contact information
Practice address
2001 COOPER ST, FORT WORTH, TX 76104-2529
(682) 800-1099
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(682) 297-6708
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
802560511
TX
Other
Enumeration date
11/30/2016
Last updated
09/02/2022
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