Individual
BRENDA SOILEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP104007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109816202
—
TX
05
—
109816206
—
TX
01
—
430045505
RAILROAD MEDICARE
TX
01
—
89808C
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/12/2006
Last updated
02/15/2017
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