Individual
DION INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 545-6560
(915) 545-6984
Mailing address
4800 ALBERTA AVE, SUITE 101, EL PASO, TX 79905-2709
(915) 545-6720
(915) 545-6755
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
826307
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP9264965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
06/05/2012
Last updated
02/05/2013
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