Individual
MILA LIZA TUMARAO PALASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
49731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002801101
—
TX
05
—
1476145
—
LA
01
—
430050273
RAILROAD MEDICARE
—
01
—
89976C
TX-BLUE SHIELD
—
01
—
P00721637
RAILROAD MEDICARE
TX
Enumeration date
01/16/2007
Last updated
07/09/2012
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