Individual
MICHAEL KENT POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7310 FLEMING AVE, AMARILLO, TX 79106-1807
(806) 354-8891
(806) 355-1284
Mailing address
PO BOX 50720, AMARILLO, TX 79159-0720
(806) 467-0459
(806) 355-1284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
034258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088587303
—
TX
01
—
81682U
BCBSTX
TX
Enumeration date
03/09/2006
Last updated
04/30/2009
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