Chaz White Anesthesia Services PC
Organization Active NPI Certified Registered Nurse Anesthetist · Jenks, OK
NPI 1366701492 · NPPES record last updated Aug 8, 2012
Key facts
- NPI
- 1366701492
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R84680 (OK)
- Legal business name
- CHAZ WHITE ANESTHESIA SERVICES PC
- Practice address
- 11912 S Vine St
Jenks, OK 74037-4339 - Phone
- (918) 995-7518
- NPI assigned
- May 9, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Chaz White, C.R.N.A.
- Title
- President
- Phone
- (918) 995-7518
Practitioners 1
-
Chaz White, CRNA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | R84680 | OK | Yes |
Addresses
Primary practice location
11912 S Vine St
Jenks, OK 74037-4339
Mailing address
11912 S Vine St
Jenks, OK 74037-4339
Phone (918) 995-7518
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200307060A | Medicaid | OK |
Other providers in Jenks, OK
- Carrie DS Family Dentistry Inc
- Jessica Leigh Cartwright
- Meghan Caster
- Nataly Jiselle Castro
- Michael Chad Chamberlain
- Angela Chesnut
- Alicia A Christopher
- Chrom Medical Labs
- Keyla Clark
- Class Tulsa, LLC
All providers in Jenks, OK · Certified Registered Nurse Anesthetist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.