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Organization
SPECIALIZED CRNA SERVICES L.L.C.
Active
Organization
SPECIALIZED CRNA SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA C ELLES C.R.N.A. (OWNER)
(832) 423-4422
Entity
Organization
Contact information
Practice address
5115 MAIN ST STE 1000, HOUSTON, TX 77002-9749
(713) 580-2500
(713) 580-2596
Mailing address
25511 BUDDE RD STE 2502, THE WOODLANDS, TX 77380-2388
(832) 616-5560
(866) 475-9062
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
501103/40277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137815002
—
TX
01
—
430032292
RAILROAD MEDICARE
TX
01
—
81995U
BCBS
TX
Enumeration date
12/06/2013
Last updated
05/04/2022
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