| Ryan Austin Davis, | |
|
11801 South Fwy, Burleson, TX 76028-7021 | |
| (817) 293-9110 | |
| Not Available |
| Full Name | Ryan Austin Davis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 11801 South Fwy, Burleson, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033694682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 850753 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP140314 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Hospital | Odessa, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mch Professional Care Hospital Based | 1557535127 | 72 |
| Entity Name | Mch Professional Care Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447547773 PECOS PAC ID: 1557535127 Enrollment ID: O20111116000437 |
| 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 | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Austin Davis, 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 Ph: () - | Ryan Austin Davis, 11801 South Fwy, Burleson, TX 76028-7021 Ph: (817) 293-9110 |
Adan Emanuel Ortiz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Ashley Bolden, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Ms. Patricia Ruth Bahr, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-551-2451 | |
Natalie Christine Taylor, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Justin Scott Bowyer, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Tammy A Smit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 214-684-0496 Fax: 214-687-9344 | |
Dr. Brett Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 |