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NISHA MUCHAL KURIAKOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
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) 233-1999

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP138520
TX
367500000X
Certified Registered Nurse Anesthetist
RN587182
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
392230401
TX
Enumeration date
11/29/2017
Last updated
10/18/2019
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