Organization
COUNTY OF WARD
Active
Other names
Ward Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA RODRIGUEZ (CEO)
(432) 943-2511
Entity
Organization
Contact information
Practice address
406 S GARY AVE, MONAHANS, TX 79756-4799
(432) 943-2511
(432) 943-6833
Mailing address
PO BOX 40, MONAHANS, TX 79756-0040
(432) 943-2511
(432) 943-6833
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C79E
BLUE CROSS CRNA
TX
05
—
136331901
—
TX
Enumeration date
10/17/2006
Last updated
01/28/2014
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