Individual
GINA PERTL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6501 FANNIN ST, HOUSTON, TX 77030-2703
(713) 798-7356
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2327267
—
LA
05
—
292246001
—
TX
05
—
292246002
—
TX
01
—
8497UC
BLUE CROSS BLUE SHIELD
TX
01
—
P01095309
RAILROAD MEDICARE
TX
Enumeration date
11/14/2011
Last updated
09/04/2025
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