| Clara Wilson, | |
|
6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | |
| (214) 687-0001 | |
| Not Available |
| Full Name | Clara Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6225 N State Highway 161 Ste 200, Irving, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992226476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN63424-CRNA (West Virginia) | Primary |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | River Cities Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699845164 PECOS PAC ID: 6002707015 Enrollment ID: O20040322000089 |
| Entity Name | Northstar Anesthesia Of West Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Wilson, 1114 Scenic Dr, Milton, WV 25541-1035 Ph: (304) 544-6211 | Clara Wilson, 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 |
Phillip Howard Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Dr. Shaquitta Nicole Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2000 | |
Deborah R. Grieder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Sara Morgan Benson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Brian Boone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Judith A Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Mr. Jacob D Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N. Macarthur Boulevard, Suite 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 |