ROMAN SHAWN BAGWELL

TYLER, TX
NPI1689618787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  727514)
Enumeration Date2006-06-16
Last Update Date2014-12-08
Business Address
-- ROMAN SHAWN BAGWELL CRNA
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-531-4500
Mailing Address
-- ROMAN SHAWN BAGWELL CRNA
PO BOX 841656
DALLAS, TX 75284-1656
Phone number: 903-531-5000
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