Organization
COWBOY ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KINGREY CRNA (PARTNER)
(800) 444-6110
Entity
Organization
Contact information
Practice address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(848) 615-2200
(888) 735-8731
Mailing address
10141 US 59 HWY, WHARTON, TX 77488-7224
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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