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Individual
PAUL ROBERT MYERS
Active
Individual
PAUL ROBERT MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
652399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070305
AANA
TX
05
—
166691901
—
TX
01
—
86172U
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
04/25/2006
Last updated
06/28/2011
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