Dr EDDIE L FONTENOT CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 1985.
TEXAS REGIONAL ANESTHESIA MEDICAL GROUP PA
115 AIRPORT RD
SULPHUR SPRINGS
TX
754822105
Tel: 9034394052
Npi | 1124071295 |
Pac Id | 7911819081 |
Professional Enrollment Id | I20101008000951 |
Last Name | FONTENOT |
First Name | EDDIE |
Middle Name | L |
Suffix | |
Gender | M |
Credential | CNA |
Medical School Name | OTHER |
Graduation Year | 1985 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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Organization Legal Name | TEXAS REGIONAL ANESTHESIA MEDICAL GROUP PA |
Group Practice Pac Id | 8325328628 |
Number Of Group Practice Members | 12 |
Line 1 Street Address | 115 AIRPORT RD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | SULPHUR SPRINGS |
State | TX |
Zip Code | 754822105 |
Phone Number | 9034394052 |
Hospital Affiliation Ccn 1 | 451380 |
Hospital Affiliation Lbn 1 | EAST TEXAS MEDICAL CENTER QUITMAN |
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Professional Accepts Medicare Assignment | M |
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