Individual
JERICHO GERALD JOSEPH LOUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1305 WONDER WORLD DR STE 105, YPS-CREDENTIALING, SAN MARCOS, TX 78666-7502
(512) 353-8161
(512) 353-8255
Mailing address
13501 SETTLERS TRL, DRIPPING SPRINGS, TX 78620-4391
(956) 330-1089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
686187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158772704
—
TX
01
—
8869UD
BCBS OF TX
TX
01
—
P01163791
RR MEDICARE
TX
Enumeration date
06/05/2007
Last updated
09/17/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us