Organization
COMPLETE ANESTHESIA CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D STEVENSON CRNA (PRESIDENT)
(972) 938-1623
Entity
Organization
Contact information
Practice address
106 LUCAS ST, WAXAHACHIE, TX 75165-2202
(573) 686-5550
Mailing address
1805 WOOD DUCK CT, MIDLOTHIAN, TX 76065-9427
(972) 938-1623
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1919623
—
TX
01
—
C84V
TX BCBS
TX
Enumeration date
07/26/2007
Last updated
08/01/2008
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