Individual
DEWAYNE HANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4510 MEDICAL CENTER DR STE 211, MCKINNEY, TX 75069-1602
(469) 541-1600
(469) 541-1612
Mailing address
906 W MCDERMOTT DR # 116-371, ALLEN, TX 75013-6510
(469) 541-1600
(469) 541-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
702611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00415W
—
TX
Enumeration date
10/25/2006
Last updated
09/28/2023
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