| Dick Weatherly, CRNA | |
|
500 W 4th St, Odessa, TX 79761-5001 | |
| (432) 640-4000 | |
| (432) 640-4606 |
| Full Name | Dick Weatherly |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 500 W 4th St, Odessa, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205935376 | NPI | - | NPPES |
| 119937405 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP102271 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dick Weatherly, CRNA Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-2408 | Dick Weatherly, CRNA 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-4000 |
Benedict Castanares Novicio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2408 Fax: 432-640-2190 | |
Bonnie Longnecker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-332-0929 | |
Scott Madewell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-334-8088 Fax: 432-580-7202 | |
Mr. Brooks Ross Greger Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 419 W 5th St, Odessa, TX 79761 Phone: 432-640-2401 | |
Charles Richard Fox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-334-8088 Fax: 432-580-7202 | |
Jordan Crumrine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-332-0929 Fax: 888-575-9993 | |
John W Presley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4606 |