Illyes, Paul Richard

Illyes, Paul Richard is an sole proprietor health care provider with primary practice located at 700 Live Oak Dr Anesthesia Dept., Killeen TX 76541-7272. 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. Illyes, Paul Richard can be contacted via phone (501) 827-4968.

Contact Information

Primary practice address
700 Live Oak Dr Anesthesia Dept. Killeen TX 76541-7272
Phone: (501) 827-4968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0028011 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 507123 Texas

Profile Details

NPI number 1659397057
LBN Legal business name Illyes, Paul Richard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Jan 7th, 2013 - about 13 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 1659397057 NPPES
Arkansas MEDICAID 115061701

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