Provider Demographics
NPI:1164409835
Name:PERKINS, JOYCE (CRNA)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 FOUNTAIN VIEW DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4832
Mailing Address - Country:US
Mailing Address - Phone:713-620-4000
Mailing Address - Fax:
Practice Address - Street 1:2411 FOUNTAIN VIEW DR STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4832
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX576796367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136160210Medicaid
TX430026125OtherRAILROAD MEDICARE
TX8075UUOtherBLUE CROSS BLUE SHIELD
TX8B7225Medicare PIN
TX83182HMedicare PIN
TX8075UUOtherBLUE CROSS BLUE SHIELD
TX8L8775Medicare PIN
TX83985HMedicare PIN
TX85071HMedicare PIN
TX136160210Medicaid
TX89085CMedicare PIN