NPI: 1063517316 · WICHITA FALLS, TX 76301 · Certified Registered Nurse Anesthetist · NPI assigned 09/13/2006
| Authorized Official | YOUNGBLOOD, TRACY (RN/ADMINISTRATOR) |
| NPI Enumeration Date | 09/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $550.09 |
| 2020 | 12 | $304.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 25 | 25 | $855.07 |