Individual
DEBORAH ANNE CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236-9908
(210) 542-7563
Mailing address
584 COUNTY ROAD 543, HONDO, TX 78861-5657
(210) 542-7563
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
576531
TX
367500000X
Certified Registered Nurse Anesthetist
AP114267
TX
Other
Enumeration date
03/17/2006
Last updated
08/21/2019
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