Individual
ALFONSO N COMBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
082366-23
NH
367500000X
Certified Registered Nurse Anesthetist
1053876
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP143692
TX
367500000X
Certified Registered Nurse Anesthetist
RN2275735
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00391987
RAILROAD MEDICARE
GA
Enumeration date
02/27/2007
Last updated
03/25/2024
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