Individual
FRANK JAWORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
583019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463044-02
—
TX
01
—
84425U
BLUE SHIELD
TX
01
—
P00219506
RR/MEDICARE
TX
Enumeration date
04/04/2006
Last updated
09/16/2020
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