Individual
JESUS ANDREW BAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6720 BERTNER AVE STE O-520, HOUSTON, TX 77030-2604
(832) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
831369
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP142205
TX
Other
Enumeration date
06/13/2019
Last updated
07/19/2023
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