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Roman Shawn Bagwell, CRNA
Certified Registered Nurse Anesthetist in Tyler, Texas
NPI 1689618787

Roman Shawn Bagwell is a Certified Registered Nurse Anesthetist based in Dallas, TX. Roman Shawn Bagwell practices in Tyler, TX and has the professional credentials of CRNA. The NPI Number for Roman Shawn Bagwell is 1689618787 and holds a License No. 727514 (Texas).

The current practice location address for Roman Shawn Bagwell is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-531-4500. You can also correspond with Roman Shawn Bagwell through the mailing address at PO BOX 841656, DALLAS, TX - 75284-1656 (mailing address contact number: 903-531-5000).

Location: 800 E Dawson St, Tyler, TX, 75284-1656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689618787
Provider Name
Roman Shawn Bagwell
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
800 E Dawson St, Tyler, TX, 75284-1656
Phone Number
903-531-4500
Fax Number
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
186791301 05 TX
186791303 05 TX
86716U 01 TX BCBS
TIN PLUS 015 01 TX TRICARE
75-1976930-005 01 TX TRICARE
P01246266 01 TX RAIL ROAD
186791302 05 TX
8338UE 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-531-4500
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-531-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
727514 (Texas)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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