Individual
KHADIJAH UDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6720 BERTNER AVE STE O-520, HOUSTON, TX 77030-2604
(832) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9477447
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
1128697
TX
390200000X
Student in an Organized Health Care Education/Training Program
RN9477447
FL
Other
Enumeration date
03/08/2023
Last updated
08/09/2023
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