Individual
KAYLA MARIE JANAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
52989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152369801
—
TX
05
—
1814920
—
LA
01
—
430072898
RAILROAD MEDICARE
—
01
—
82487U
TX-BLUE SHIELD
—
Enumeration date
01/11/2007
Last updated
06/05/2018
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