Walford, Brian Robert

Walford, Brian Robert is an individual health care provider with primary practice located at 1501 E Mockingbird Ln Suite 220, Victoria TX 77904-2155. 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. Walford, Brian Robert can be contacted via phone (361) 573-6291.

Contact Information

Primary practice address
1501 E Mockingbird Ln Suite 220 Victoria TX 77904-2155
Phone: (361) 573-6291
Fax: (361) 576-2434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 736013 Texas

Profile Details

NPI number 1639187131
LBN Legal business name Walford, Brian Robert
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 16th, 2022 - about 2 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 1639187131 NPPES
Texas Other 84981U BLUE CROSS
Texas MEDICAID 171759701 BLUE CROSS

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