| William John Craig, | |
|
59th Msgs/mcoa, 2200 Bergquist Dr. Suite 1, Lackland Afb, TX 78236-5300 | |
| (210) 292-5145 | |
| Not Available |
| Full Name | William John Craig |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 59th Msgs/mcoa, Lackland Afb, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386622389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 218880-3102 (Utah) | Primary |
| Entity Name | The San Antonio Orthopaedic Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720022494 PECOS PAC ID: 6800798794 Enrollment ID: O20040122000068 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| William John Craig, 25931 Laurel Spgs, San Antonio, TX 78260-2420 Ph: (210) 568-8186 | William John Craig, 59th Msgs/mcoa, 2200 Bergquist Dr. Suite 1, Lackland Afb, TX 78236-5300 Ph: (210) 292-5145 |
Mr. Ronald Everett Wyatt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2200 Berquist Dr, 59 Medical Wing/credentials, Lackland Afb, TX 76236 Phone: 940-676-0868 | |
Mr. Jeffrey Carl Darius, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Attn: Credentials (cmc), Lackland Afb, TX 78236 Phone: 210-292-6707 |