| Richard Holyfield, | |
|
411 N Belknap St, Stephenville, TX 76401-3415 | |
| (254) 965-1500 | |
| Not Available |
| Full Name | Richard Holyfield |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 411 N Belknap St, Stephenville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013781996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1153478 (Texas) | Primary |
| 163W00000X | Registered Nurse | RN9559153 (Florida) | Secondary |
| 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 |
|---|---|
| Richard Holyfield, 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Richard Holyfield, 411 N Belknap St, Stephenville, TX 76401-3415 Ph: (254) 965-1500 |
Michael E Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 411 N Belknap St, Stephenville, TX 76401 Phone: 254-965-2663 | |
Edna G. Waterlander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 River North Blvd, Stephenville, TX 76401 Phone: 254-965-7020 |