Individual
JASON MATTHEW DEBRUYCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
119 W HOUSTON ST, SHERMAN, TX 75090-5909
(903) 891-7000
(903) 813-1479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
083704
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
200483
OK
Other
Enumeration date
11/05/2009
Last updated
04/16/2021
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