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Individual

KATHRYN A BLADES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7102 W SAM HOUSTON PKWY N STE 225, HOUSTON, TX 77040-3165
(713) 426-1669
(713) 868-9416
Mailing address
PO BOX 926098, HOUSTON, TX 77292-6098
(713) 426-1669
(713) 868-9416

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
426998
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
028898
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110827601
GROUP PROVIDER #
TX
Enumeration date
07/11/2007
Last updated
12/01/2022
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