IndividualActive
Brandon Wiley, C.R.N.A.
NPI 1003107749 · Certified Registered Nurse Anesthetist · Texarkana, TX
Provider details
- NPI number
- 1003107749
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- C.R.N.A.
- Sex
- Male
- Sole proprietor
- No
- License
- R76881 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone: (903) 735-9802
Fax: (903) 735-9806
Approximate (ZIP-level) locationGet directions
Mailing address
4100 Summerhill Rd
Texarkana, TX 75503-2732
Registry dates
- Enumerated
- 2011-04-28
- Last updated
- 2014-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.