Individual
JOHN W PRESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-4000
(432) 640-4606
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-4000
(432) 640-4606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131230
TX
367500000X
Certified Registered Nurse Anesthetist
R892963
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R892963
STATE LICENSE NUMBER
MS
Enumeration date
03/22/2013
Last updated
09/12/2016
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