Individual
MR. ERASMO COUTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(817) 319-0545
Mailing address
917 W BROADUS AVE, FORT WORTH, TX 76115-2410
(817) 319-0545
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
75563
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
AP129935
TX
Other
Enumeration date
01/07/2016
Last updated
01/26/2024
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