Individual
GILDA V MATUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 794-1011
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301129801
—
TX
Enumeration date
12/15/2011
Last updated
06/11/2024
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