Individual
MR. JAMES CARL ATHA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3030 CANYON TRAIL RD, DALHART, TX 79022-7621
(806) 282-8999
Mailing address
3030 CANYON TRAIL RD, DALHART, TX 79022-7621
(806) 282-8999
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
AP124431
TX
367500000X
Certified Registered Nurse Anesthetist
754112
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP124431
TX
Other
Enumeration date
09/30/2013
Last updated
11/08/2021
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