Individual
LISA WU HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4095
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
639067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188788701
—
TX
01
—
88198U
BCBS
TX
01
—
P00898286
RR MEDICARE
TX
Enumeration date
09/05/2007
Last updated
08/09/2011
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