Individual
MR. JED ERNIE GUILBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
333 N TEXAS AVE, WEBSTER, TX 77598-4966
(281) 335-1700
(281) 335-1708
Mailing address
PO BOX 4346, DEPT 398, HOUSTON, TX 77210-4346
(281) 358-8114
(281) 358-0609
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
227383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037399
RECERTIFICATION OF AANA
TX
01
—
82708U
BCBS
TX
01
—
85291U
BCBS
TX
01
—
P00233461
RAILROAD MEDICARE
TX
Enumeration date
08/30/2005
Last updated
07/08/2007
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