Individual
JARAD A LEFRERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2009004325
TX
367500000X
Certified Registered Nurse Anesthetist
2010013561
MO
367500000X
Certified Registered Nurse Anesthetist
817217
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP120873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700105483
—
MO
05
—
18373400
—
AR
01
—
194111
BLUE SHIELD
MO
05
—
200302340A
—
OK
Enumeration date
05/20/2010
Last updated
08/18/2022
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