IndividualActive
Ajay Mishra
NPI 1710475215 · Certified Registered Nurse Anesthetist · Waco, TX
Provider details
- NPI number
- 1710475215
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 939667 (TX)
Mailing address
Po Box 844658
Dallas, TX 75284-4658
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2022-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.