Individual
LISA JAN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1635 NORTH LOOP WEST, HOUSTON, TX 77008-1593
(713) 400-2990
(713) 400-2993
Mailing address
PO BOX 22926, JACKSON, MS 39225-2926
(713) 400-2990
(713) 400-2993
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
550731
TX
367500000X
Certified Registered Nurse Anesthetist
AP104003
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN550731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042230
AANA
TX
05
—
130121010
—
TX
05
—
13012111
—
TX
01
—
86021U
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
04/25/2006
Last updated
08/21/2018
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