Individual
BELLA AMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2727 GRAMERCY ST, HOUSTON, TX 77025-1617
(713) 436-7202
Mailing address
2305 DELTA BRIDGE DR, PEARLAND, TX 77584-1566
(713) 436-7202
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
723733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043537
043537
TX
01
—
723733
REGISTERED NURSE LICENSE
TX
Enumeration date
07/18/2006
Last updated
01/10/2008
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