Individual
MR. JOHN ALAN OFFUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2403 PEBBLE DR, GRANBURY, TX 76048-2618
(817) 578-8880
Mailing address
2403 PEBBLE DR, GRANBURY, TX 76048-2618
(817) 219-5656
(817) 578-8880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
231449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126053108
—
TX
01
—
88915U
BCBS
TX
Enumeration date
09/27/2005
Last updated
01/10/2011
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