IndividualActive
Adam Myers
NPI 1003522525 · Certified Registered Nurse Anesthetist · Port Lavaca, TX
Provider details
- NPI number
- 1003522525
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AP61405206 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
403 Willowbend Dr
Port Lavaca, TX 77979-2262
Phone: (817) 879-3996
Approximate (ZIP-level) locationGet directions
Mailing address
403 Willowbend Dr
Port Lavaca, TX 77979-2262
Additional practice locations (1)
- 2701 Hospital DrVictoria, TX 77901-5749Phone: (361) 573-9181
Registry dates
- Enumerated
- 2023-01-27
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.