Individual
JOHN HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7505 MAIN ST STE 150, HOUSTON, TX 77030-4540
(713) 790-1500
Mailing address
7505 MAIN ST STE 150, HOUSTON, TX 77030-4540
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
021638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8D5008
MEDICARE PROVIDER
TX
Enumeration date
11/03/2006
Last updated
10/15/2007
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