ROBERT D FULLINWIDER

AUSTIN, TX
NPI1346222940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  29196)
Enumeration Date2005-11-18
Last Update Date2007-11-01
Business Address
-- ROBERT D FULLINWIDER CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2454
Mailing Address
-- ROBERT D FULLINWIDER CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2454