| Ralph Smith, CRNA | |
|
1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | |
| (361) 513-6291 | |
| (361) 576-2434 |
| Full Name | Ralph Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1501 E Mockingbird Ln, Victoria, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265522130 | NPI | - | NPPES |
| 742710179A027 | Other | TX | CHAMPUS |
| CR43320 | Other | TX | WORKERS COMPENSATION |
| 002182601 | Medicaid | TX | |
| 80273H | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 566277 (Texas) | Primary |
| Entity Name | Victoria Anesthesiology Assoc Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881709780 PECOS PAC ID: 5395636716 Enrollment ID: O20040323001880 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Smith, CRNA 1501 E Mockingbird Ln, Ste 101, Victoria, TX 77904-2178 Ph: (361) 573-6291 | Ralph Smith, CRNA 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 Ph: (361) 513-6291 |
Kristina Alexis Whiteley, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-582-5728 | |
Daniel Schlichting, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled 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: Medicare Enrolled 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 |