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NPI Code Detail

MEDICARE: JANET SUMODOBILA

MEDICARE: JANET SUMODOBILA
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 Anesthetist576021TX

General Provider Information

NPI Number : 1225018609
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET SUMODOBILA
Provider Business Mailing Address
First Line : 714 FM 1960 RD W
Second Line : SUITE 206
City : HOUSTON
State : TX
Zip : 77090-3405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17080 RED OAK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2602
Country : US
Telephone Number : 281-539-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/08/2007

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Directions to “ JANET SUMODOBILA ” Practice Location

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