Organization
GRASSHOPPER ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA STOCKMAN CRNA (OWNER)
(903) 752-0395
Entity
Organization
Contact information
Practice address
3610 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2539
(936) 560-9599
Mailing address
4865 COUNTY ROAD 260, NACOGDOCHES, TX 75965-7016
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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