Individual
JASPER MICHAEL NEUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 WALTER REED BLVD, STE.302, GARLAND, TX 75042-3701
(972) 276-6100
Mailing address
7303 ROBIN RD, DALLAS, TX 75209-3921
(817) 988-8845
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
239486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144394703
—
TX
05
—
144394705
—
TX
01
—
87651U
BCBS
TX
01
—
8L9574
TX MEDICARE
TX
Enumeration date
07/03/2006
Last updated
04/11/2017
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