Individual
BRYAN JAMES CHAPPUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
17 STONEGATE DR, LONGVIEW, TX 75601-3659
(903) 234-9212
Mailing address
17 STONEGATE DR, LONGVIEW, TX 75601-3659
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
445555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109945904
—
TX
Enumeration date
06/15/2006
Last updated
01/24/2011
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