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Individual

JOHN E FORTUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201901670CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
679239
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
324364401
TX
05
324364402
TX
Enumeration date
08/29/2013
Last updated
03/14/2023
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