Individual
LOU ANN CARGNEL WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3710 MARONEAL ST, HOUSTON, TX 77025-1220
(713) 668-1136
Mailing address
3710 MARONEAL ST, HOUSTON, TX 77025-1220
(713) 668-1136
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
464100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038496
RECERTIFICATION AANA
TX
01
—
83174U
BLUE CROSS/BLUE SHIELD
TX
01
—
P00000702
RR MEDICARE
TX
Enumeration date
10/04/2005
Last updated
07/08/2007
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