Individual
EVANGELINE RABARA TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(903) 530-9591
Mailing address
3115 COLLEGE PARK DR 107, THE WOODLANDS, TX 77384-4001
(936) 494-3003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
685367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155476803
—
TX
01
—
8669UU
BLUE CROSS BLUE SHIELD
TX
01
—
89664U
BCBS
TX
Enumeration date
11/24/2006
Last updated
07/27/2015
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