Organization
LLANO COUNTY HOSPITAL AUTHORITY
Active
Other names
Llano Memorial Hospital Anes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A LEEPER (CEO)
(325) 247-7868
Entity
Organization
Contact information
Practice address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
(325) 248-2108
Mailing address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
(325) 248-2108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00299K
BCBS
TX
Enumeration date
11/15/2005
Last updated
12/07/2007
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