Individual
MRS. JENNIFER LAURE BEDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
(832) 355-6500
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
081081
TX
367500000X
Certified Registered Nurse Anesthetist
623492
TX
367500000X
Certified Registered Nurse Anesthetist
AP117662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202016603
—
TX
01
—
8306UU
BLUE CROSS BLUE SHIELD
TX
01
—
P00826710
RAILROAD MEDICARE
TX
Enumeration date
03/03/2009
Last updated
09/22/2022
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