Individual
MRS. CLAIRE COOPER FABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
083053
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218245301
—
TX
05
—
218245302
—
TX
05
—
2357409
—
TX
01
—
8535UA
BLUE CROSS BLUE SHIELD
TX
01
—
P00905294
RAILROAD MEDICARE
TX
Enumeration date
06/24/2010
Last updated
04/28/2020
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