Jonathan Walker, CRNA
Nurse Anesthetist, Certified Registered in Tyler, TX. Individual provider (NPI-1).
NPI number1124120183
StatusActive
Last updated in NPPESMay 12, 2021
Details
- NPI
- 1124120183
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Walker
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2006
- Certification date
- May 12, 2021
- Last updated
- May 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 72296 | TX | Yes |
Practice location
800 E Dawson StTyler, TX 75701-2036
Phone 903-606-4522
Mailing address
1737 Briarcrest DrSuite 14
Bryan, TX 77802-2769
Phone 979-776-4777 · Fax 979-776-0588
Other practice locations
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All 111 Certified Registered Nurse Anesthetist providers in Tyler · All 6,843 providers in Tyler
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