Enrique Campuzano, | |
11800 Astoria Blvd, Houston, TX 77089-6041 | |
(281) 929-6100 | |
Not Available |
Full Name | Enrique Campuzano |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 11800 Astoria Blvd, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487386694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1084497 (Texas) | Primary |
Entity Name | Texans Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275733982 PECOS PAC ID: 8820171390 Enrollment ID: O20080207000456 |
Mailing Address | Practice Location Address |
---|---|
Enrique Campuzano, 11800 Astoria Blvd, Houston, TX 77089-6041 Ph: () - | Enrique Campuzano, 11800 Astoria Blvd, Houston, TX 77089-6041 Ph: (281) 929-6100 |
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