| Clifton King, CRNA | |
|
711 N Main St, Belton, TX 76513-3053 | |
| (512) 665-6911 | |
| Not Available |
| Full Name | Clifton King |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 711 N Main St, Belton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578000873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP133076 (Texas) | Primary |
| Entity Name | Brazos Gi Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073806360 PECOS PAC ID: 7113197161 Enrollment ID: O20110830000318 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200422002521 |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton King, CRNA 6906 Crystal Valley Dr, Temple, TX 76502-6683 Ph: (512) 665-6911 | Clifton King, CRNA 711 N Main St, Belton, TX 76513-3053 Ph: (512) 665-6911 |
Jimmie Johnson Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall Dr, Belton, TX 76513 Phone: 254-338-5473 Fax: 254-613-4064 |