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Individual

MR. JAMES MAX MCEWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
614 PECAN CREEK DR, SUNNYVALE, TX 75182-9631
(972) 226-1091
(972) 226-2911
Mailing address
614 PECAN CREEK DR, SUNNYVALE, TX 75182-9631
(972) 226-1091
(972) 226-2911

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
33099
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SD-72
BLUE CROSS-BLUE SHIELD
TX
Enumeration date
07/20/2006
Last updated
01/19/2010
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