Individual
MR. STEVEN PORTER TEMPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1757 IMPERIAL BLVD., LAKE CHARLES, LA 70605
(337) 310-2832
Mailing address
13523 BARRETT PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-3802
(636) 938-6868
(636) 938-1486
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
713364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202728601
—
TX
01
—
8077UU
BLUE CROSS BLUE SHIELD
TX
01
—
P00708281
RAILROAD MEDICARE
TX
Enumeration date
12/08/2008
Last updated
08/16/2010
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