| 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  |