Individual
CAROLINE MBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 832-8890
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9364032
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
1169377
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP9364032
FL
Other
Enumeration date
07/28/2017
Last updated
02/10/2026
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