Organization
CRNA ASSOCIATES INC
Active
Organization
CRNA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD FLAHERTY (OWNER)
(915) 779-1716
Entity
Organization
Contact information
Practice address
5959 GATEWAY BLVD W, STE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 771-6558
Mailing address
5959 GATEWAY BLVD W, STE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 771-6558
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169651001
—
TX
05
—
169651002
—
TX
Enumeration date
07/01/2006
Last updated
08/14/2008
Update your record
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