Individual
NICHOLAS MAKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
791356
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP133952
TX
Other
Enumeration date
02/01/2017
Last updated
07/29/2020
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