Healthcare Provider Details

I. General information

NPI: 1629417084
Provider Name (Legal Business Name): LINDSEY RAE DAVIS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY RAE AASER CRNA

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 04/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17207 KUYKENDAHL RD SUITE 220
SPRING TX
77379-8423
US

IV. Provider business mailing address

17207 KUYKENDAHL RD SUITE 220
SPRING TX
77379-8423
US

V. Phone/Fax

Practice location:
  • Phone: 832-698-5331
  • Fax: 832-698-5171
Mailing address:
  • Phone: 832-698-5331
  • Fax: 832-698-5171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number728279
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: