Redwine, Jimmy Wayne

Redwine, Jimmy Wayne is an individual health care provider with primary practice located at 36000 Darnall Loop Anesthesia Operative Service, Fort Hood TX 76544. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Redwine, Jimmy Wayne can be contacted via phone (254) 288-8197.

Contact Information

Primary practice address
36000 Darnall Loop Anesthesia Operative Service Fort Hood TX 76544
Phone: (254) 288-8197
Fax: (254) 288-8875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X TX504084 Texas

Profile Details

NPI number 1629164835
LBN Legal business name Redwine, Jimmy Wayne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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