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DENELLE LEE GRADNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
759688
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP126445
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134388111
TX
01
8CQ235
BCBS
TX
01
P00927891
RR MEDICARE
TX
Enumeration date
10/29/2014
Last updated
08/27/2020
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