Individual
LINDA KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
647423
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
AP138914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395807601
—
TX
01
—
395807602
CSHCN
TX
01
—
8KI762
BCBS
TX
Enumeration date
09/01/2015
Last updated
08/14/2019
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