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Organization
PERFORMANCE ANESTHESIA SERVICES, LLC
Active
Organization
PERFORMANCE ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BOYTIM (CEO)
(979) 777-8969
Entity
Organization
Contact information
Practice address
44 N CUMMINGS ST, BELLVILLE, TX 77418
(979) 413-7300
Mailing address
5100 LAUREL VALLEY CT, COLLEGE STATION, TX 77845-4480
(979) 703-1678
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
08/15/2019
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