Individual
CLINT THOMAS WESTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(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
Primary
AP119122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218490501
—
TX
01
—
833N41
BCBS
TX
01
—
P00964725
RR MEDICARE
TX
Enumeration date
08/12/2010
Last updated
10/04/2024
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