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Individual

PAUL L HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9588
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-076866
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051526351
AL
01
51526351
BCBS #
AL
01
P00281996
RR MEDICARE #
AL
Enumeration date
07/13/2006
Last updated
10/12/2023
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