Individual
CRISTAL SHAVON NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(823) 355-2666
Mailing address
6501 FANNIN ST STE NC114, HOUSTON, TX 77030-2703
(713) 798-7356
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP136400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382475701
—
TX
01
—
382475702
CSHCN TPI
TX
Enumeration date
02/20/2018
Last updated
11/22/2023
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