Individual
BRENT DUFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-9100
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP142939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013439611
—
TX
Enumeration date
07/14/2017
Last updated
04/02/2024
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