Individual
DIRK DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5950 SARATOGA BLVD, CHRISTUS SPOHN SOUTH, CORPUS CHRISTI, TX 78413
(361) 985-5700
Mailing address
4444 CORONA, STE 232, CORPUS CHRISTI, TX 78411
(361) 858-8525
(361) 858-8809
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
635914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82560Q
BCBS
TX
01
—
85273U
BCBS
TX
01
—
86247U
BCBSTX
TX
Enumeration date
05/08/2006
Last updated
10/29/2007
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