Individual provider · Type 1 NPI

Chankanika Theam

Certified Registered Nurse Anesthetist · Bedford, TX

NPI number 1366353377 Active

Practice location

2412 Avalon Ct
Bedford, TX 76021-1122

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X825757 (TX)
Certified Registered Nurse Anesthetist Primary 367500000X1250924 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1366353377

Chankanika Theam's National Provider Identifier is 1366353377, issued on Sep 16, 2026. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Bedford, TX. The record was last updated on Oct 13, 2026.