JOSE GERARDO MENJIVAR

AUSTIN, TX
NPI1861724312
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP119012)
Enumeration Date2010-02-09
Last Update Date2020-06-23
Business Address
JOSE GERARDO MENJIVAR CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2554
Mailing Address
JOSE GERARDO MENJIVAR CRNA
PO BOX 840853
DALLAS, TX 75284-1019
Phone number: 972-233-1999