EDMOND JACQUE DECOUX IV

EAGLE ANESTHESIA PLLC

Dr EDMOND JACQUE DECOUX IV is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2012.

Contact

EAGLE ANESTHESIA PLLC

5520 LYNDON B JOHNSON FWY
SUITE 190
DALLAS
TX
752406246

Tel: 9726365727

EDMOND JACQUE DECOUX IV Information

Npi 1558606038
Pac Id 4183869001
Professional Enrollment Id I20130326000194
Last Name DECOUX
First Name EDMOND
Middle Name JACQUE
Suffix IV
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
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 EAGLE ANESTHESIA PLLC
Group Practice Pac Id 5092083998
Number Of Group Practice Members 7
Line 1 Street Address 5520 LYNDON B JOHNSON FWY
Line 2 Street Address SUITE 190
Marker Of Address Line 2 Suppression
City DALLAS
State TX
Zip Code 752406246
Phone Number 9726365727
Hospital Affiliation Ccn 1 450015
Hospital Affiliation Lbn 1 PARKLAND HEALTH & HOSPITAL SYSTEM
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 Y

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