Individual
JUDITH E. DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4740 INGERSOLL STREET, SUITE 105, HOUSTON, TX 77027-6624
(713) 263-8780
(713) 263-8563
Mailing address
4740 INGERSOLL ST, SUITE 105, HOUSTON, TX 77027-6697
(713) 263-8780
(713) 263-8563
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
228779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088947904
—
TX
05
—
088947905
—
TX
01
—
P0117040
RAILROAD MEDICARE
TX
Enumeration date
11/15/2005
Last updated
06/20/2013
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