Individual
CHAD EVERETT DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 458-4185
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
071149
TX
367500000X
Certified Registered Nurse Anesthetist
AP113216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168923401
—
TX
01
—
84225U
BLUE SHEILD
TX
01
—
P00355340
RAILROAD MEDICARE
TX
Enumeration date
01/09/2007
Last updated
12/01/2021
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