Individual
GAVIN VANCE BRUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 853-5972
(337) 433-9861
Mailing address
PO BOX 3084, LAKE CHARLES, LA 70602-3084
(409) 853-5972
(337) 433-9861
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
520928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109774301
—
TX
Enumeration date
07/29/2006
Last updated
11/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us