| Brian Robert Walford, CRNA | |
|
1501 E Mockingbird Ln, Suite 220, Victoria, TX 77904-2155 | |
| (361) 573-6291 | |
| (361) 576-2434 |
| Full Name | Brian Robert Walford |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 1501 E Mockingbird Ln, Victoria, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639187131 | NPI | - | NPPES |
| 84981U | Other | TX | BLUE CROSS |
| 171759701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 736013 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cuero Regional Hospital | Cuero, TX | Hospital |
| Lavaca Medical Center | Hallettsville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Am Anesthesia Services Of South Texas-cuero Pllc | 0941567234 | 8 |
| Dewitt Medical District | 3072421395 | 31 |
| Entity Name | Dewitt Medical District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366532608 PECOS PAC ID: 3072421395 Enrollment ID: O20031202000088 |
| Entity Name | Lavaca Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245274471 PECOS PAC ID: 1153211750 Enrollment ID: O20040317001233 |
| Entity Name | Jackson County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215971478 PECOS PAC ID: 2365423795 Enrollment ID: O20040601000224 |
| Entity Name | Val Verde Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
| Entity Name | Xenon Medical Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588007215 PECOS PAC ID: 5991931545 Enrollment ID: O20131204000650 |
| Entity Name | Am Anesthesia Services Of South Texas-cuero Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881105849 PECOS PAC ID: 0941567234 Enrollment ID: O20171121002020 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Robert Walford, CRNA Po Box 4897, Houston, TX 77210-4897 Ph: (903) 787-5850 | Brian Robert Walford, CRNA 1501 E Mockingbird Ln, Suite 220, Victoria, TX 77904-2155 Ph: (361) 573-6291 |
Kristina Alexis Whiteley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-582-5728 | |
Ralph Smith, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1501 E Mockingbird Ln, #101, Victoria, TX 77904 Phone: 361-513-6291 Fax: 361-576-2434 | |
Daniel Schlichting, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E Mockingbird Ln Ste 220, Victoria, TX 77904 Phone: 361-573-2481 Fax: 361-576-2434 | |
Danielle Burns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-573-9181 | |
David J Solis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E Mockingbird Ln, Suite 220, Victoria, TX 77904 Phone: 361-573-6291 Fax: 361-576-2434 | |
Sara A Dornbusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-573-9181 | |
Mrs. Natalie Dawn Chilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E Mockingbird Lane, #220, Victoria, TX 77904 Phone: 361-573-6291 |