Individual
KELLI GUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
629138
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182642203
—
TX
05
—
182642204
—
TX
01
—
8162UB
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/09/2006
Last updated
06/05/2018
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