Provider Demographics
NPI:1932398229
Name:FRENCH, ELWANDA (CRNA)
Entity Type:Individual
Prefix:
First Name:ELWANDA
Middle Name:
Last Name:FRENCH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 PRICE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75654-2523
Mailing Address - Country:US
Mailing Address - Phone:903-657-6740
Mailing Address - Fax:903-657-6740
Practice Address - Street 1:2005 PRICE ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-2523
Practice Address - Country:US
Practice Address - Phone:903-657-6740
Practice Address - Fax:903-657-6740
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216246282N00000X
TX020261282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital