Mrs Suma Joseph, CRNA | |
1515 Holcombe Blvd, Houston, TX 77030-4009 | |
(713) 792-6161 | |
Not Available |
Full Name | Mrs Suma Joseph |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 1515 Holcombe Blvd, Houston, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417292095 | NPI | - | NPPES |
8307UH | Other | TX | BCBS |
340823901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2013002286 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP125653 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Referral Service | 7911801410 | 2406 |
Entity Name | Physicians Referral Service |
---|---|
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 |
---|---|
Mrs Suma Joseph, CRNA Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991 | Mrs Suma Joseph, CRNA 1515 Holcombe Blvd, Houston, TX 77030-4009 Ph: (713) 792-6161 |
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