TRACE P TEAS

WACO, TX
NPI1891294047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP136364)
Enumeration Date2018-02-02
Last Update Date2022-06-29
Business Address
TRACE P TEAS CRNA
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-202-2000
Mailing Address
TRACE P TEAS CRNA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: