NPI: 1750700118 · AUSTIN, TX 78704 · Certified Registered Nurse Anesthetist · NPI assigned 04/15/2014
| Authorized Official | FREDRICKSON, JENNIFER (PRESIDENT) |
| NPI Enumeration Date | 04/15/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 59 | $1K |
| 2019 | 15 | $377.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 74 | 64 | $2K |