Organization
DREAMWORKS ANESTHESIA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA YATES CRNA (MANAGER)
(936) 639-3036
Entity
Organization
Contact information
Practice address
505 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
(936) 639-3036
Mailing address
PO BOX 151736, LUFKIN, TX 75915-1736
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C48P
BCBS
TX
Enumeration date
06/03/2006
Last updated
03/06/2008
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