Organization · Type 2 NPI

12th Street Anesthesia PLLC

Certified Registered Nurse Anesthetist · Wolfforth, TX

NPI number 1497604029 Active

Practice location

12108 FM 179
Wolfforth, TX 79382-7034

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XNone listed

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…

About NPI 1497604029

12th Street Anesthesia PLLC's National Provider Identifier is 1497604029, issued on Jan 26, 2026. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Wolfforth, TX. The record was last updated on Jan 26, 2026.