Individual
MRS. BRIDGETTE PAYNE LAMBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1635 NORTH LOOP WEST, HOUSTON, TX 77008-1593
(713) 400-2990
(713) 400-2993
Mailing address
PO BOX 22926, JACKSON, MS 39225-2926
(713) 559-6929
(713) 400-2993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN725622
TX
363L00000X
Nurse Practitioner
AP121959
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
88252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309519202
—
TX
Enumeration date
06/01/2012
Last updated
09/24/2018
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