Individual
MICHAEL SHANE BREWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4800 NE STALLINGS DR, SUITE110, NACOGDOCHES, TX 75965-1249
(936) 569-9443
(936) 560-5667
Mailing address
4800 NE STALLINGS DR, SUITE110, NACOGDOCHES, TX 75965-1249
(936) 569-9443
(936) 560-5667
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
701994
TX
Other
Enumeration date
07/12/2006
Last updated
01/13/2009
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