Individual
MR. JIMMY WAYNE REDWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
36000 DARNALL LOOP, ANESTHESIA OPERATIVE SERVICE, FORT HOOD, TX 76544
(254) 288-8197
(254) 288-8875
Mailing address
36000 DARNALL LOOP, CARL R. DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
TX504084
TX
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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