Individual
DONNA BEIDLER WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP101102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134805410
—
TX
05
—
134805411
—
TX
01
—
84162U
BLUE CROSS
TX
01
—
P00121547
RAILROAD - MEDICARE
TX
Enumeration date
01/24/2007
Last updated
02/16/2017
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