Individual
JOHN L NISCAVITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9525 KATY FWY STE 206, HOUSTON, TX 77024-1476
(713) 400-2990
Mailing address
605 FAIRDALE ST, FRIENDSWOOD, TX 77546-4519
(713) 516-2405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1191530
TX
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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