Billy Jack Premo is a Midwest City, Oklahoma based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Billy Jack Premo is R0025846 for Anesthesia Administration in Oklahoma. his current practice location is 2825 Parklawn Dr, Midwest City. Patients can reach him at 405-360-7576. Billy Jack Premo is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1003839911.
Billy Jack Premo is a certified 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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Billy Jack Premo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Gender: | Male |
| Practice Address: | 2825 Parklawn Dr, Midwest City,
Oklahoma, 73110-4201 |
| Phone: | 405-360-7576 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1003839911 |
| NPI Enumeration Date: | 25 Jul, 2006 |
| NPI Last Update On: | 12 Mar, 2015 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Billy Jack Premo are as mentioned below.
| License Number | Specialization | State | Status | |
| R0025846 | Anesthesia Administration | Oklahoma | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Billy Jack Premo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 430001523 | Other | Oklahoma | MEDICARE PIN |
| 731189454001 | Other | Oklahoma | BCBS |
| 100781950A | Medicaid | Oklahoma | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 10979,
Midwest City, Oklahoma |
| Zip: | 73140-1979 |
| Phone Number: | 405-360-7576 |
| Fax Number: | -- |
Patients can reach Billy Jack Premo at
2825 Parklawn Dr, Midwest City, Oklahoma or can
call to book an appointment on 405-360-7576.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.