Russell G Hardaway, CRNA
Nurse Anesthetist, Certified Registered in El Paso, TX. Individual provider (NPI-1).
NPI number1619087962
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619087962
- Entity type
- Individual (NPI-1)
- Name
- Mr. Russell G Hardaway
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 21851 | TX | Yes |
Practice location
7717 Lockheed Dr Ste EEl Paso, TX 79925-2437
Phone 915-577-0111 · Fax 915-533-2568
Mailing address
7717 Lockheed Dr Ste EEl Paso, TX 79925-2437
Phone 915-577-0111 · Fax 915-533-2568
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