Individual
MRS. MARY T ALTORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209008959
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306341402
—
TX
01
—
8347UK
BCBS
TX
01
—
P01532070
RR MEDICARE
TX
Enumeration date
08/12/2011
Last updated
06/05/2018
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