Dwayne Emmons, CRNA
Nurse Anesthetist, Certified Registered in Decatur, TX. Individual provider (NPI-1).
NPI number1073020319
StatusActive
Last updated in NPPESJan 9, 2018
Details
- NPI
- 1073020319
- Entity type
- Individual (NPI-1)
- Name
- Dwayne Emmons
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2018
- Last updated
- Jan 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 831769 | TX | Yes |
Practice location
609 Medical Center DrDecatur, TX 76234-3836
Phone 940-627-5921
Mailing address
2655 Northwinds PkwyAlpharetta, GA 30009-2280
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