Individual
EVAN SOSEBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7670
Mailing address
PO BOX 840853, DALLAS, TX 75284-1596
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
946013
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1152369
TX
Other
Enumeration date
08/25/2021
Last updated
03/11/2024
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