Individual
RON WAYNE JUNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
PO BOX 130639, TYLER, TX 75713-0639
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
620477
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
220454
OK
367500000X
Certified Registered Nurse Anesthetist
620477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1836041
—
TX
05
—
183604101
—
TX
01
—
86212U
BCBS OF TEXAS
TX
Enumeration date
06/15/2006
Last updated
05/21/2025
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