Individual
MR. JASON SHAY BARNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-6400
(214) 648-5461
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
657503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159977101
—
TX
05
—
1599771106
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
8050UJ
BCBS
TX
01
—
P01394733
RAILROAD MEDICARE
TX
Enumeration date
06/15/2006
Last updated
09/12/2018
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