EDDIE L FONTENOT CNA

TEXAS REGIONAL ANESTHESIA MEDICAL GROUP PA

Dr EDDIE L FONTENOT CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 1985.

Contact

TEXAS REGIONAL ANESTHESIA MEDICAL GROUP PA

115 AIRPORT RD
SULPHUR SPRINGS
TX
754822105

Tel: 9034394052

EDDIE L FONTENOT CNA Information

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)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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