Jody King, CRNA
Nurse Anesthetist, Certified Registered in Tyler, TX. Individual provider (NPI-1).
NPI number1235281114
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1235281114
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jody King
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 678892 | TX | Yes |
Practice location
800 E Dawson StTyler, TX 75701-2036
Phone 903-525-2668
Mailing address
3131 County Road 3707Bullard, TX 75757-5595
Phone 903-574-2127
Other practice locations
2448 E 5th St
Tyler, TX 75701-3525
Tyler, TX 75701-3525
Phone 903-535-3000
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All 111 Certified Registered Nurse Anesthetist providers in Tyler · All 6,843 providers in Tyler
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