DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BILLY JACK PREMO, CRNA

Active Sole Proprietor

BILLY JACK PREMO, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MIDWEST CITY, Oklahoma. NPI 1003839911 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · MIDWEST CITY, OK

Registration Details

NPI Number
1003839911
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2006 (20.024141340911 yrs)
Last Updated
Mar 12, 2015
License
R0025846 (OK)
Sole Proprietor
Yes

Practice Information

Address
2825 PARKLAWN DR
MIDWEST CITY, OK, 731104201
Browse OK providers · Browse ZIP 73110
Phone
4053607576
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in MIDWEST CITY, OK

Name Credential NPI
MR. PETER GEORGE WIPFLI CRNA 1144217464
PATRICK TODD LIGGITT CRNA 1689628125
WILLIAM ROBBIN SAUNDERS CRNA 1992745509
VERLE ROBERT GARNOS CRNA 1043392798
MR. JAMES KENNETH RANDALL CRNA 1649484361
CHRISTOPHER ALLEN ROGERS CRNA 1780148486
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.