Davang, Jeffrey Fred

Davang, Jeffrey Fred is an individual health care provider with primary practice located at 1501 E Mockingbird Ln 101, Victoria TX 77904-2155. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Davang, Jeffrey Fred can be contacted via phone (361) 573-2481.

Contact Information

Primary practice address
1501 E Mockingbird Ln 101 Victoria TX 77904-2155
Phone: (361) 573-2481
Fax: (361) 576-2434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 642422 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 642422 Texas

Profile Details

NPI number 1003806464
LBN Legal business name Davang, Jeffrey Fred
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 5th, 2016 - about 9 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 1003806464 NPPES
Texas Other 83842U BLUE CROSS/BLUE SHIELD
Texas Other 052983 BLUE CROSS/BLUE SHIELD
Texas MEDICAID 151044802 BLUE CROSS/BLUE SHIELD
Texas Other P00090293 BLUE CROSS/BLUE SHIELD

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