Provider Demographics
NPI:1487759346
Name:EDDINS, DARLA JALANE (CRNA)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:JALANE
Last Name:EDDINS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 515 432
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251
Mailing Address - Country:US
Mailing Address - Phone:214-549-6998
Mailing Address - Fax:469-737-4313
Practice Address - Street 1:1701 OHIO DR
Practice Address - Street 2:BAYLOR SURGICARE AT PLANO
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5208
Practice Address - Country:US
Practice Address - Phone:214-549-6998
Practice Address - Fax:800-507-7848
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX538008207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88304UOtherBCBS
R57325Medicare UPIN
TX88304UOtherBCBS