Individual
LANCE ATTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4100 SUMMERHILL RD, TEXARKANA, TX 75503-2732
(903) 735-9802
(903) 735-9806
Mailing address
4100 SUMMERHILL RD, TEXARKANA, TX 75503-2732
(903) 735-9802
(903) 735-9806
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
851680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08040014200
QUALCHOICE
—
05
—
167963001
—
AR
01
—
5177420
CIGNA
—
01
—
71-0781138
UNITED HEALTHCARE
—
01
—
893156
HEALTHLINK
—
01
—
9759156
AETNA
—
Enumeration date
01/17/2008
Last updated
09/27/2023
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