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Organization
PROFESSIONAL ANESTHESIA ASSOCIATES
Active
Organization
PROFESSIONAL ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL FRIDDELL (GENERAL PARTNER)
(432) 837-7160
Entity
Organization
Contact information
Practice address
2600 N HIGHWAY 118, ALPINE, TX 79830-2002
(432) 837-7160
(432) 837-5450
Mailing address
PO BOX 2052, ALPINE, TX 79831-2052
(432) 837-7160
(432) 837-7160
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
553621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006864501
—
TX
01
—
00C10P
GROUP BCBS OF TEXAS ID
TX
Enumeration date
12/28/2006
Last updated
09/28/2009
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