SHANE WHITNEY STORY

FORT WORTH, TX
NPI1285871145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  702894)
Enumeration Date2009-01-14
Last Update Date2009-01-14
Business Address
Mr. SHANE WHITNEY STORY CRNA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-920-6864
Mailing Address
Mr. SHANE WHITNEY STORY CRNA
1613 HARRISON PKWY
SUNRISE, FL 33323-2896
Phone number: 954-838-2685