Look up the most recent NPI and PECOS records

Stephen Durel

Nurse Anesthetist, Certified Registered

Physician Assistants & Advanced Practice Nursing Providers

3705 Medical Pkwy Ste 570, Austin, TX 78705

(512) 454-2554 (972) 233-1999

PECOS Enrollment

Based on the most recent information from CMS, provider Stephen Durel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1659811552
Provider Type
Individual
Full Name
Durel, Stephen
Credential
CRNA

Gender
Male
Sole Proprietor
No
Enumeration Date
2/27/2017
Last Updated
6/7/2018

Contact Information

Practice Location

3705 Medical Pkwy Ste 570, Austin, TX 78705

(512) 454-2554

Unlisted Fax

Mailing Location

PO Box 840853, Dallas, TX 75284-0853

(972) 233-1999

(972) 233-3666

Provider Taxonomies

Code	Description	License
Code 367500000X Primary	Description Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers	License AP134400 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Stephen Durel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Deputat, Ellen N

Harrison, Cara L

Garren, Julie Ann

Heathington, Beth W

Tenery, Kathleen J

Heath, Samuel Richard

Moore, Kristen Kari

Lundblad, Johan

Mcgarrigle, Ilene Julie

Beierle, Lynn A