Individual
JAMES MARTIN BASHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
915 SW 79TH ST, LAWTON, OK 73505-6427
(405) 926-7348
Mailing address
915 SW 79TH ST, LAWTON, OK 73505-6427
(405) 926-7348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0075945
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100847130A
—
OK
Enumeration date
10/23/2006
Last updated
10/17/2025
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