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Individual

KARLA D GRECIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
365871
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
365871
RN LICENSE
TX
01
85715U
BLUE CROSS PROVIDER ID
TX
01
87060U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/26/2006
Last updated
08/12/2020
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