Rendelman, Gregory P

Rendelman, Gregory P is an sole proprietor health care provider with primary practice located at 1600 11Th St , Wichita Falls TX 76301-4300. 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. Rendelman, Gregory P can be contacted via phone (940) 764-7000.

Contact Information

Primary practice address
1600 11Th St Wichita Falls TX 76301-4300
Phone: (940) 764-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 705261 Texas

Profile Details

NPI number 1871508226
LBN Legal business name Rendelman, Gregory P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Oct 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871508226 NPPES
Texas MEDICAID 169907601
Texas Other 84703U

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