Individual
LUCY KEIL SHADOWENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8850 LONG POINT RD, HOUSTON, TX 77055-3006
(713) 827-1820
(713) 468-7370
Mailing address
PO BOX 203057, HOUSTON, TX 77216-3057
(281) 358-8114
(281) 358-0609
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
250214
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80760H
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
11/30/2005
Last updated
07/08/2007
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