Individual
LEAH BOUDREAUX GONSOULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7900 FANNIN ST, SUITE 2300, HOUSTON, TX 77054-2934
(713) 790-1349
(713) 790-0028
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
083057
TX
367500000X
Certified Registered Nurse Anesthetist
AP119100
TX
Other
Enumeration date
07/22/2010
Last updated
12/23/2021
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