Individual
MR. ERIC WILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853 SUITE 400, DALLAS, TX 75284-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
668047
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP116518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193734403
—
TX
01
—
8803UG
BCBS
TX
01
—
P01446930
RR
TX
Enumeration date
10/11/2007
Last updated
07/01/2020
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