| Mr Eddie L Fontenot, CRNA | |
|
719 W Coke Rd, Winnsboro, TX 75494-3011 | |
| (903) 707-4768 | |
| Not Available |
| Full Name | Mr Eddie L Fontenot |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 719 W Coke Rd, Winnsboro, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124071295 | NPI | - | NPPES |
| 1892952-03 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 736281 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eddie L Fontenot, CRNA 3835 County Road 4560, Winnsboro, TX 75494-8056 Ph: (903) 707-4768 | Mr Eddie L Fontenot, CRNA 719 W Coke Rd, Winnsboro, TX 75494-3011 Ph: (903) 707-4768 |
Mr. Juan Francisco Quintana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 | |
Mr. Michael Wayne Phillips, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 | |
Mr. Theodore Knox Gregory Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 |