OrganizationActive
Advanced Practice Pain Management and Anesthesia Consulting PLLC
NPI 1790308500 · Certified Registered Nurse Anesthetist · Henderson, TX
Provider details
- NPI number
- 1790308500
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dwight Hall, President(903) 720-1459
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
325 Wilson St
Henderson, TX 75652-5957
Phone: (903) 655-4814
Fax: (833) 654-0699
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Turner Dr
Longview, TX 75601-6750
Registry dates
- Enumerated
- 2020-05-27
- Last updated
- 2022-05-09
- Certified
- 2022-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.