Individual
KEAL RASAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 4TH ST, 8182, LUBBOCK, TX 79430-8182
(806) 743-2981
Mailing address
305 WILDCAT ST, WOLFFORTH, TX 79382-5326
(432) 413-4601
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
770256
TX
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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