Individual
CODY MICHAEL ABSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
Mailing address
PO BOX 122431 DEPT 2431, DALLAS, TX 75312-2431
(337) 480-8900
(337) 480-8901
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202040
LA
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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