Individual
MR. BOBBY JAMES HUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461-5520
(713) 790-1349
(713) 790-0028
Mailing address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461-5520
(985) 649-7070
(713) 790-0028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
722279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02583005
—
MS
05
—
1390534
—
LA
Enumeration date
05/03/2006
Last updated
01/05/2011
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