Individual
JACK R CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7610 SAUVE TERRE DR, CORPUS CHRISTI, TX 78414
(361) 537-3778
Mailing address
7610 SAUVE TERRE DR, CORPUS CHRISTI, TX 78414
(361) 537-3778
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01459
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154134701
—
AR
Enumeration date
12/19/2005
Last updated
10/21/2011
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