Individual
JASON TODD NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 639-3036
(936) 639-3064
Mailing address
PO BOX 1447, LUFKIN, TX 75902-1447
(936) 639-3036
(936) 639-3064
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076550
TX
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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