Individual
ADRIAN ALBERTO JACQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 544-1200
Mailing address
1409 CROSS RIDGE DR, EL PASO, TX 79912-7248
(915) 841-8734
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
731547
TX
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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