Individual
DUSTIN KYLE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
731520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215086402
—
TX
05
—
329737601
—
TX
05
—
329737602
—
TX
01
—
8493UH
BCBS
TX
01
—
P01441249
RR MEDICARE
TX
Enumeration date
01/17/2014
Last updated
10/09/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us