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Timothy B Different, CRNA
Certified Registered Nurse Anesthetist in Jacksonville, Texas
NPI 1730643032

Timothy B Different is a Certified Registered Nurse Anesthetist based in Dallas, TX. Timothy B Different practices in Jacksonville, TX and has the professional credentials of CRNA. The NPI Number for Timothy B Different is 1730643032 and holds a License No. AP140173 (Texas).

The current practice location address for Timothy B Different is 2026 S Jackson St, Jacksonville, TX and can be reached out via phone at 903-586-5678 and via fax at 903-541-4679.

Location: 2026 S Jackson St, Jacksonville, TX, 75284-7522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730643032
Provider Name
Timothy B Different
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
2026 S Jackson St, Jacksonville, TX, 75284-7522
Phone Number
903-586-5678
Fax Number
903-541-4679
Provider Enumeration Date
01/31/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
769641 01 TX MEDICARE
8KP517 01 TX BCBS
394643601 05 TX
P02210751 01 TX MEDICARE RAIL ROAD
institution
Provider Business Practice Location Address Details
Address
2026 S Jackson St
City
Jacksonville
State
Texas
Zip
75766-5822
Phone Number
903-586-5678
Fax Number
903-541-4679
person
Provider Business Mailing Address Details
Address
2026 S Jackson St
City
Jacksonville
State
Texas
Zip
75766-5822
Phone Number
903-586-5678
Fax Number
903-541-4679
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
AP140173 (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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