Organization
GATORBAIT ANESTHESIA, PLLC
Active
Other names
Gatorbait Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN ROBERT PARKER CRNA (OWNER)
(901) 937-9961
Entity
Organization
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(901) 937-9961
Mailing address
PO BOX 4157, MIDLAND, TX 79704-4157
(432) 699-0225
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123287
TX
Other
Enumeration date
02/02/2015
Last updated
06/16/2015
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