Organization
BABCOCK ANESTHESIA PROVIDERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT K BABCOCK CRNA (PRESIDENT)
(979) 966-0321
Entity
Organization
Contact information
Practice address
353 N MADISON, LA GRANGE, TX 78945-2231
(979) 966-0321
(979) 968-2722
Mailing address
353 N MADISON, LA GRANGE, TX 78945-2231
(979) 966-0321
(979) 968-2722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C47P
BCBS
TX
05
—
152078501
—
TX
Enumeration date
10/03/2006
Last updated
08/21/2008
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