Individual provider Active NPI

Howard Dwayne Credor, CRNA

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
National Provider Identifier
1154376721
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP113139 Issued in TX
Practice address
7946 N Loop 1604 W
San Antonio, TX 78249-5174
Phone
(210) 567-9100
Fax
(210) 450-2165
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN074876 LA
Certified Registered Nurse Anesthetist 367500000X 704230 TX
Certified Registered Nurse Anesthetist 367500000X AP113139 TX Primary

Addresses

Primary practice location

7946 N Loop 1604 W
San Antonio, TX 78249-5174

Mailing address

7946 N Loop 1604 W
San Antonio, TX 78249-5174
Phone (210) 567-9100

Other practice location 1

10655 Steepletop Dr
Cypress Fairbanks Medical Center
Houston, TX 77065-4222
Phone (281) 890-4285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000961 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123929817 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

1301 Wonder World Dr
Christus Santa Rosa San Marcos
San Marcos, TX 78666-7533
Phone (512) 753-3525

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

7946 N Loop 1604
San Antonio, TX 78249-5174
Phone (210) 450-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN074876LAMDRegistered Nurse
704230TXMDCertified Registered Nurse Anesthetist
AP113139TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 4, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 4, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2014 Accepting new patients
Katy West Houston Anesthesia PA Past Accepting new patients
Anesthesiology Group Associates Inc Past Accepting new patients

Locations

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

7946 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 567-9040

8300 Floyd Curl Dr
Ste 5A
San Antonio, TX 78229

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1154376721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7946 N LOOP 1604 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782495174",
            "telephone_number": "210-567-9100",
            "fax_number": "210-450-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 N LOOP 1604 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782495174",
            "telephone_number": "210-567-9100",
            "fax_number": "210-450-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10655 Steepletop Dr",
            "address_2": "Cypress Fairbanks Medical Center",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770654222",
            "country_code": "US",
            "telephone_number": "281-890-4285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREDOR",
        "first_name": "HOWARD",
        "middle_name": "DWAYNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN074876",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "704230",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP113139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.