Individual
MR. JOHN EDWARD DULAVERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6402 LOST CREEK DR, TEXARKANA, TX 75503-0902
(979) 557-1555
Mailing address
6402 LOST CREEK DR, TEXARKANA, TX 75503-0902
(979) 557-1555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
599388
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
599388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
367500000X
TRICARE
GA
Enumeration date
02/15/2006
Last updated
10/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us