William M Harris I, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Snyder, TX

NPI 1184783979 · NPPES record last updated Jun 13, 2011

Key facts

NPI
1184783979
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
225675 (TX)
Practice address
4604 El Paso
Snyder, TX 79549-6162
Phone
(325) 573-7834
Fax
(325) 573-0322
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
225675TXMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 225675 TX Yes

Addresses

Primary practice location

4604 El Paso
Snyder, TX 79549-6162

Mailing address

4604 El Paso Ave
Snyder, TX 79549-5824
Phone (325) 573-7834

Other identifiers

IdentifierTypeStateIssuer
225675OtherTXTEXAS LICENSE RN #

Other providers in Snyder, TX

All providers in Snyder, TX · Certified Registered Nurse Anesthetist in Texas

Sources for this page

Verify at the official NPI Registry.