Organization
NAVYTRAINED ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEAN PORTS CRNA (OWNER)
(432) 230-1314
Entity
Organization
Contact information
Practice address
520 E 6TH ST, ODESSA, TX 79761-4527
(432) 230-1314
Mailing address
2001 FRINGEWOOD DR, MIDLAND, TX 79707-5051
(432) 230-1314
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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