IndividualActive
John Dulaveris, CRNA
NPI 1164496022 · Certified Registered Nurse Anesthetist · Texarkana, TX
Provider details
- NPI number
- 1164496022
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 599388 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6402 Lost Creek Dr
Texarkana, TX 75503-0902
Phone: (979) 557-1555
Street-level locationGet directions
Mailing address
6402 Lost Creek Dr
Texarkana, TX 75503-0902
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2014-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.