Provider Demographics
NPI:1063594448
Name:GARNOS ANESTHESIA SERVICES, INC.
Entity type:Organization
Organization Name:GARNOS ANESTHESIA SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERLE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GARNOS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:405-732-7905
Mailing Address - Street 1:8121 NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-7530
Mailing Address - Country:US
Mailing Address - Phone:405-732-7905
Mailing Address - Fax:405-360-7762
Practice Address - Street 1:8121 NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-7530
Practice Address - Country:US
Practice Address - Phone:405-732-7905
Practice Address - Fax:405-360-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty