Individual
MADISON DREU BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3419 22ND ST, LUBBOCK, TX 79410-1334
(806) 796-3000
(806) 796-3006
Mailing address
2117 93RD PL, LUBBOCK, TX 79423-4417
(806) 252-9090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
830907
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
129335
TX
367500000X
Certified Registered Nurse Anesthetist
AP144760
TX
Other
Enumeration date
12/28/2019
Last updated
04/10/2025
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