Individual
ALEX KIRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
525878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13012309
—
TX
05
—
130123607
—
TX
05
—
130123608
—
TX
01
—
430074097
RR MEDICARE
TX
01
—
8286UC
BLUE CROSS BLUE SHIELD
TX
01
—
83237U
BCBS
TX
Enumeration date
02/09/2007
Last updated
04/30/2020
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