Provider Demographics
NPI:1134189681
Name:STEELE, ROBERT DWAYNE (CRNA)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DWAYNE
Last Name:STEELE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:13601 PRESTON RD
Mailing Address - Street 2:900W
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4911
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-386-4292
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-747-6118
Practice Address - Fax:972-747-6121
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX254215367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
R57318Medicare UPIN
TX89002KMedicare ID - Type Unspecified606K
TX85103KMedicare ID - Type Unspecified339K
TX89218KMedicare ID - Type Unspecified607K