Individual
MICHAEL JOHN IEYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
950 N 14TH ST STE 100, BEAUMONT, TX 77702-1112
(409) 833-5858
(855) 543-5077
Mailing address
608 STRICKLAND DR, DEPT OF ANESTHESIA, ORANGE, TX 77630-4717
(409) 883-1303
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
560932
TX
Other
Enumeration date
02/28/2007
Last updated
01/28/2019
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