Individual
LISA BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR STE 200, HOUSTON, TX 77057-4832
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR STE 200, HOUSTON, TX 77057-4832
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
054363
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP2767252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188283902
—
TX
05
—
188283903
—
TX
01
—
87146U
BLUE CROSS BLUE SHIELD
TX
01
—
88597U
BLUE CROSS BLUE SHIELD
TX
01
—
G3214
BLUE CROSS BLUE SHIELD
FL
01
—
P00189829
RAILROAD MEDICARE
—
01
—
P00394592
MEDICARE RAILROAD
TX
01
—
P00702759
RAILROAD MEDICARE
TX
Enumeration date
11/04/2005
Last updated
02/07/2011
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