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Individual

MELISSA DAVIS WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1709 DRYDEN RD, SUITE 1700, HOUSTON, TX 77030-2400
(713) 798-7356
(713) 798-6374
Mailing address
1709 DRYDEN RD, SUITE 1700, HOUSTON, TX 77030-2400
(713) 798-7356
(713) 798-6374

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
45053
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003383901
TX
01
1548791
LA - MEDICAID
LA
01
430027845
RAILROAD - MEDICARE
TX
01
88878C
TX-BLUE SHIELD
Enumeration date
01/24/2007
Last updated
08/18/2011
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