Individual
JENNIFER A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2000
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1835
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
796209
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP120073
TX
Other
Enumeration date
03/10/2011
Last updated
06/04/2022
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