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Individual

MR. MICHAEL A LACOMBE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(972) 233-1999
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
04856
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04856
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1357146
LA
Enumeration date
08/31/2006
Last updated
05/06/2020
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