Organization
HARRIS METHODIST HEB
Active
Other names
CRNA-THHEB
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BOSSBACH (AUTHORIZED REPRESENTATIVE)
(817) 570-8404
Entity
Organization
Contact information
Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 570-4804
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
03/27/2009
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