1932377074 NPI number — MRS. KAREN JEAN ADAIR CRNA

Table of content: MRS. KAREN JEAN ADAIR CRNA (NPI 1932377074)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932377074 NPI number — MRS. KAREN JEAN ADAIR CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADAIR
Provider First Name:
KAREN
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCCURDY
Provider Other First Name:
KAREN
Provider Other Middle Name:
JEAN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CRNA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932377074
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1423 BELL RANCH CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EULESS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76040-4966
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-853-0059
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1109 SPRING BROOK DR
Provider Second Line Business Practice Location Address:
SUPERIOR ANESTHESIA
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76021-4449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-342-5227
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  076531 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)