Individual
MONTIE WAYNE BAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1734 SANTA FE ST, CORPUS CHRISTI, TX 78404-1857
(361) 883-6211
(361) 882-4891
Mailing address
1734 SANTA FE ST, CORPUS CHRISTI, TX 78404-1857
(361) 883-6211
(361) 882-4891
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
036849
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
549574
TX
367500000X
Certified Registered Nurse Anesthetist
RN569547
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036849
AANA NO.
—
Enumeration date
03/14/2006
Last updated
01/23/2017
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