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Individual

PAIGE BOMBARDIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(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
163W00000X
Registered Nurse
804987
TX
367500000X
Certified Registered Nurse Anesthetist
109551
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131179
TX

Other

Enumeration date
03/23/2016
Last updated
09/24/2021
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