Individual
ANDRESS J THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4000
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
704019
TX
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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