Organization
DICK WEATHERLY CRNA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICK WEATHERLY CRNA (OWNER)
(432) 520-0291
Entity
Organization
Contact information
Practice address
2706 W CUTHBERT, BUILDING B SUITE 100, MIDLAND, TX 79701
(432) 520-0291
(432) 520-2181
Mailing address
PO BOX 4157, MIDLAND, TX 79704-4157
(432) 520-0291
(432) 520-2181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/24/2006
Last updated
08/22/2020
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