Thomas Vincent Mahoney, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Gladewater, TX
NPI 1821144262 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1821144262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 237852 (TX)
- Practice address
- 1605 E Lake Dr
Gladewater, TX 75647-9204 - Phone
- (903) 845-2361
- NPI assigned
- Jan 26, 2007
- 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 |
|---|---|---|---|
| 237852 | TX | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 237852 | TX | Yes |
Addresses
Primary practice location
1605 E Lake Dr
Gladewater, TX 75647-9204
Mailing address
1605 E Lake Dr
Gladewater, TX 75647-9204
Phone (903) 845-2361
Other practice location 1
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000
Other providers in Gladewater, TX
- Longview Walk-in Clinic
- Aubrey Kay Lucas
- Raymonda Kay Lucas
- Geraci Mack
- Debra Sue Mahoney
- Lacy N Martinho
- Erin Sharpton McElhaney
- Shera Elice McNeely
- Michelle'S Salon of Cuts and Styles/ Non-Surgical Hair Replacement Center
- Trinity Ann Mooney
All providers in Gladewater, 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 Apr 22, 2024. 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.