Individual
PAUL STRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
221 RAINBOW DR # 12140, LIVINGSTON, TX 77399-2021
(865) 809-7527
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10115
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
660801
TX
367500000X
Certified Registered Nurse Anesthetist
AP116456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195154301
—
TX
01
—
88610U
BLUE CROSS PROVIDER ID
TX
Enumeration date
05/30/2006
Last updated
09/08/2024
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