Organization
GUARDIAN ANGEL ANESTHESIA SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY CARTER CRNA (PRESIDENT)
(573) 686-5550
Entity
Organization
Contact information
Practice address
600 N UNION AVE, NEW BRAUNFELS, TX 78130-4194
(573) 686-5550
Mailing address
1081 RIVER TER, NEW BRAUNFELS, TX 78130-3417
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932468931
TX BCBS
TX
05
—
314879301
—
TX
Enumeration date
05/10/2012
Last updated
10/30/2013
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