Individual
JASON R. MORNINGSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7451 CHAPEL AVE, FORT WORTH, TX 76116-7090
(817) 294-7444
Mailing address
2847 W BROOKLYN AVE, DALLAS, TX 75211-5204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
680673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8218UU
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/16/2009
Last updated
07/30/2012
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