Individual
DEIDRE PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 4TH ST, STE. 1C282, LUBBOCK, TX 79430-8182
(806) 743-7246
(806) 743-7235
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
679551
TX
Other
Enumeration date
01/22/2010
Last updated
11/10/2021
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