Jacqueline Anne Colligan, | |
2411 Fountain View Dr, Suite 200, Houston, TX 77057-4817 | |
(713) 458-4185 | |
Not Available |
Full Name | Jacqueline Anne Colligan |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2411 Fountain View Dr, 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 |
---|---|---|---|
1912054628 | NPI | - | NPPES |
2117297 | Medicaid | LA | |
81171H | Other | TX-BLUE SHIELD | |
430039901 | Other | RAILROAD MEDICARE | |
002473901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 48234 (Texas) | Primary |
Entity Name | Medical Anesthesia Associates, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104868686 PECOS PAC ID: 8022002823 Enrollment ID: O20040414000079 |
Entity Name | Anesthesia Company Of Houston, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598038770 PECOS PAC ID: 4284897299 Enrollment ID: O20120531000130 |
Entity Name | Independent Physicians Network Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396274676 PECOS PAC ID: 5496029407 Enrollment ID: O20170914001408 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Anne Colligan, 2411 Fountain View Dr Ste 200, Houston, TX 77057-4832 Ph: (713) 620-4000 | Jacqueline Anne Colligan, 2411 Fountain View Dr, Suite 200, Houston, TX 77057-4817 Ph: (713) 458-4185 |
Editha A Flemming, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000 | |
Danielle Therese George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Ryann Hattori, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Rodrique Dewyane Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Pedro Napoles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Suite 300, Houston, TX 77042 Phone: 972-715-5000 Fax: 972-715-9976 | |
Alyssa Estill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000 | |
Thomas Kyle Reynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7200 Cambridge St Fl 10, Houston, TX 77030 Phone: 713-798-1750 Fax: 713-798-4693 |