Individual
JESSICA L MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 824-5800
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1750
(713) 798-1144
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
699496
TX
Other
Enumeration date
03/02/2009
Last updated
02/24/2022
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