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Individual
RICHARD L FENDER
Active
Individual
RICHARD L FENDER
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
233064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088826504
—
TX
05
—
118531701
—
AR
01
—
1942208327
ARBC
AR
01
—
8074UH
TXBC
TX
Enumeration date
07/11/2005
Last updated
09/09/2014
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