Individual
GRACE YEOWN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
759380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325151401
—
TX
05
—
325151402
—
TX
Enumeration date
07/30/2013
Last updated
08/28/2020
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