Individual
MR. ADAM WAYNE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-9152
(956) 362-7381
Mailing address
5501 S MCCOLL RD, EDINBURG, TX 78539-9152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
TCRNA0942
AZ
Other
Enumeration date
05/16/2013
Last updated
08/27/2015
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