Individual
MARCUS EUGENE HARRELL
Active
Individual
MARCUS EUGENE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
625990
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-902A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002958903
—
TX
01
—
050889
CRNA LICENSE
TX
05
—
1457939380
—
ID
01
—
625990
TEXAS STATE NURSE LICENSE
TX
01
—
89607U
BCBS
TX
01
—
P00719258
RAILROAD
TX
Enumeration date
09/06/2006
Last updated
04/29/2024
Update your record
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