Jacqueline Odhiambo, CRNA | |
1515 Holcombe Blvd, Houston, TX 77030-4000 | |
(713) 792-6161 | |
Not Available |
Full Name | Jacqueline Odhiambo |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1515 Holcombe 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 |
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1912530288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 281405 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1101543 (Texas) | Primary |
Entity Name | Physicians Referral Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
Mailing Address | Practice Location Address |
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Jacqueline Odhiambo, CRNA Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991 | Jacqueline Odhiambo, CRNA 1515 Holcombe Blvd, Houston, TX 77030-4000 Ph: (713) 792-6161 |
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 |