Individual
GREGORY ALLAN FENCHEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1501 S COULTER ST, AMARILLO, TX 79106-1770
(806) 354-1000
Mailing address
7550 HILLSIDE RD APT 1101, AMARILLO, TX 79119-8316
(505) 306-6869
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1011950
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2020
Last updated
10/08/2020
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