Individual
ADAM NICHOLAS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
815 N VIRGINIA ST, PORT LAVACA, TX 77979-3025
(361) 552-0222
(361) 552-0220
Mailing address
403 WILLOWBEND DR, PORT LAVACA, TX 77979-2262
(817) 879-3996
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP1188082
TX
367500000X
Certified Registered Nurse Anesthetist
AP61405206
WA
Other
Enumeration date
01/27/2023
Last updated
07/06/2026
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