Organization
BDH ANESTHESIA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MASICA CRNA (SECRETARY/MEMBER)
(956) 358-4050
Entity
Organization
Contact information
Practice address
4570 N EXPRESSWAY, BROWNSVILLE, TX 78526
(956) 554-2012
Mailing address
PO BOX 1246, POPLAR BLUFF, MO 63902-1246
(573) 785-3861
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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