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NPI Code Detail

MEDICARE: IRENE M MADRIZ CRNA

MEDICARE:   IRENE M MADRIZ  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist618209TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050593OTHERTXRECERTIFICATION AANA
281800UOTHERTXBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821083825
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE M MADRIZ CRNA
Provider Business Mailing Address
First Line : PO BOX 203057
Second Line :
City : HOUSTON
State : TX
Zip : 77216-3057
Country : US
Telephone Number : 281-358-8114
Fax Number : 281-358-0609
Provider Business Practice Location Address
First Line : 8850 LONG POINT RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-3006
Country : US
Telephone Number : 713-827-1820
Fax Number : 713-468-7370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 05/05/2008

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