Individual
HOWARD DWAYNE CREDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7946 N LOOP 1604 W, SAN ANTONIO, TX 78249-5174
(210) 567-9100
(210) 450-2165
Mailing address
7946 N LOOP 1604 W, SAN ANTONIO, TX 78249-5174
(210) 567-9100
(210) 450-2165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN074876
LA
367500000X
Certified Registered Nurse Anesthetist
704230
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP113139
TX
Other
Enumeration date
05/23/2006
Last updated
10/11/2024
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