Individual
DAVID MICHAEL WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
048275
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP112443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160361505
—
TX
05
—
160361509
—
TX
01
—
8835UM
BCBS
TX
01
—
P01733909
RR MEDICARE
TX
Enumeration date
05/15/2007
Last updated
08/03/2020
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