Individual
JEFFREY PAUL SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
590697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088985905
—
TX
05
—
100782460A
—
OK
01
—
430030284
RAILROAD MEDICARE
TX
01
—
8014UH
BCBS
TX
01
—
88881C
BLUE CROSS BLUE SHIELD
TX
01
—
P01447036
RR
TX
Enumeration date
07/05/2006
Last updated
07/05/2018
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