Eddie Ray Dunlap, CRNA
Nurse Anesthetist, Certified Registered in Decatur, TX. Individual provider (NPI-1).
NPI number1245271832
StatusActive
Last updated in NPPESFeb 4, 2008
Details
- NPI
- 1245271832
- Entity type
- Individual (NPI-1)
- Name
- Eddie Ray Dunlap
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2006
- Last updated
- Feb 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 254134 | TX | Yes |
Other names
- Eddie R. Dunlap (Professional Name)
Practice location
2000 S Fm 51Decatur, TX 76234-3702
Phone 940-627-5921
Mailing address
282 W Ridge StDecatur, TX 76234-4797
Phone 940-626-4505 · Fax 940-626-4905
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