MEDICARE: MICHELLE RENACCI GERSHENSON 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
1	367500000X	Certified Registered Nurse Anesthetist	459059	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	034038	OTHER	TX	RECERTIFICATION AANA
2	84318U	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1669467668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE RENACCI GERSHENSON CRNA

Provider Business Mailing Address
First Line	:	PO BOX 4346
Second Line	:	DEPT 675
City	:	HOUSTON
State	:	TX
Zip	:	77210-4346
Country	:	US
Telephone Number	:	281-358-8114
Fax Number	:	281-358-0609

Provider Business Practice Location Address
First Line	:	4120 SOUTHWEST FWY
Second Line	:	STE 100
City	:	HOUSTON
State	:	TX
Zip	:	77027-7339
Country	:	US
Telephone Number	:	713-626-8500
Fax Number	:	713-626-8560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1023002524 — RIVER OAKS SURGICAL CENTER, LLC
Practice Location Address:

4120 SOUTHWEST FWY , STE 100
HOUSTON, TX
77027-7339

Practice Phone: 713-626-8500
Practice Fax: 713-626-8560

1962497263 — MR. KEITH LOYD COPELAND CRNA
Practice Location Address:

4120 SOUTHWEST FWY , SUITE 100
HOUSTON, TX
77027-7339

Practice Phone: 713-626-8500
Practice Fax: 713-626-8560

1255326906 — DR. JOHN EDWARD MORAGNE MD
Practice Location Address:

4120 SOUTHWEST FWY , STE 200
HOUSTON, TX
77027-7339

Practice Phone: 713-355-8600
Practice Fax: 713-355-8069

1669468922 — RIVER OAKS ANESTHESIA CONSULTANTS PA
Practice Location Address:

4120 SOUTHWEST FWY , SUITE 100
HOUSTON, TX
77027-7339

Practice Phone: 713-626-8500
Practice Fax: 713-626-8560

1407844699 — LINDA ROSANN MCFADDEN CRNA
Practice Location Address:

4120 SOUTHWEST FWY , SUITE 100
HOUSTON, TX
77027-7339

Practice Phone: 713-626-8500
Practice Fax: 713-626-8560

1164405254 — DR. DONALD L KRAMER M.D.
Practice Location Address:

4120 SOUTHWEST FWY
HOUSTON, TX
77027-7339

Practice Phone: 713-355-1500
Practice Fax: 713-629-1945

Directions to “ MICHELLE RENACCI GERSHENSON CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.