Roman Shawn Bagwell, CRNA
Nurse Anesthetist, Certified Registered in Tyler, TX. Individual provider (NPI-1).
NPI number1689618787
StatusActive
Last updated in NPPESDec 8, 2014
Details
- NPI
- 1689618787
- Entity type
- Individual (NPI-1)
- Name
- Roman Shawn Bagwell
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2006
- Last updated
- Dec 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 727514 | TX | Yes |
Practice location
800 E Dawson StTyler, TX 75701-2036
Phone 903-531-4500
Mailing address
Po Box 841656Dallas, TX 75284-1656
Phone 903-531-5000
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All 111 Certified Registered Nurse Anesthetist providers in Tyler · All 6,843 providers in Tyler
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