Gregory Wade Cowart, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Port Lavaca, TX
NPI 1528070885 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1528070885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 239435 (TX)
- Practice address
- 815 N Virginia St
Port Lavaca, TX 77979-3025 - Phone
- (361) 552-6713
- Fax
- (361) 552-0338
- NPI assigned
- Aug 13, 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)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239435 | TX | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 239435 | TX | Yes |
Addresses
Primary practice location
815 N Virginia St
Port Lavaca, TX 77979-3025
Mailing address
38402 Wildwood PT
Magnolia, TX 77354-6643
Phone (713) 302-5036
Other providers in Port Lavaca, TX
- Penny Prapinporn Clay
- John William Clinton III
- Anna Lindsay Cobb
- Robert D Coleman
- Gary S Cook
- William J Crowley III
- Michelle Cummins
- Deming Pediatrics PLLC
- Raymond P Dickey
- Connor Dieringer
All providers in Port Lavaca, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.