Individual
CHAD HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 326-6400
(505) 326-4606
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 326-6400
(505) 326-4606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R41412
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10027396
LOVELACE HP
NM
05
—
126483
—
AZ
01
—
202008371
PRESBYTERIAN HP
NM
05
—
32157711
—
CO
05
—
50505271
—
NM
01
—
NM006E26
BCBS
NM
01
—
P00347383
RR MEDICARE
NM
05
—
T0539
—
UT
Enumeration date
06/18/2006
Last updated
06/07/2018
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