Individual
KATHERINE ELIZABETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030-4202
(713) 798-1750
(713) 798-4693
Mailing address
7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030-4202
(713) 798-1750
(713) 798-4693
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP120182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280545901
—
TX
05
—
280545902
—
TX
01
—
8638UB
BCBS
TX
01
—
P01160220
RR MEDICARE
TX
Enumeration date
04/21/2011
Last updated
11/08/2022
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