Individual
MR. DENNIS J ONEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 US HIGHWAY 83 N, CHILDRESS, TX 79201-2320
(940) 937-6371
(940) 937-9128
Mailing address
PO BOX 1030, CHILDRESS, TX 79201-1030
(940) 937-6371
(940) 937-9128
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
541148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003343304
—
TX
01
—
00C23L
CRMC CRNA BILLING SERVICES MEDICARE ID
TX
01
—
133250409
MEDICAID CRMC CRNA GROUP
TX
Enumeration date
03/22/2007
Last updated
03/25/2015
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