NPI 1003107749

Brandon Wiley, CRNA

Practitioner Certified Registered Nurse Anesthetist Texarkana, TX

Practice location

Address: 4100 Summerhill Rd, Texarkana, TX 75503-2732
Phone: (903) 735-9802
Fax: (903) 735-9806

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 818273 (TX)

Other Nurse Anesthetist, Certified Registered providers in Texas →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R76881 (AR)

Registry record

NPI: 1003107749
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2011
Record last updated: 26 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.