Provider Demographics
NPI:1861426561
Name:GALES, JASON V (CRNA)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:V
Last Name:GALES
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 FRANKLIN DESERT DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-8160
Mailing Address - Country:US
Mailing Address - Phone:915-335-9229
Mailing Address - Fax:
Practice Address - Street 1:1300 MURCHISON DR STE 200
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4838
Practice Address - Country:US
Practice Address - Phone:915-594-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX709338367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84470UOtherBCBS
TX171698708Medicaid
TX171698706Medicaid
TX171698701Medicaid
NM80578217Medicaid
TX8036UAOtherBCBS
TX8L26344Medicare PIN
TX171698708Medicaid
TX171698701Medicaid
TXP00168064Medicare PIN