Individual
NATHANAEL BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4522
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP132982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368733705
—
TX
Enumeration date
02/13/2017
Last updated
08/07/2024
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