Provider Demographics
NPI:1659371706
Name:ESPINOSA, DENICE (CRNA)
Entity Type:Individual
Prefix:
First Name:DENICE
Middle Name:
Last Name:ESPINOSA
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 1:3100 WESLAYAN ST STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5752
Mailing Address - Country:US
Mailing Address - Phone:713-526-1600
Mailing Address - Fax:713-620-7697
Practice Address - Street 1:3100 WESLAYAN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:713-526-1600
Practice Address - Fax:713-620-7697
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX540173367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX002987808Medicaid
TX002987807Medicaid
TX002987804Medicaid
TX002987808Medicaid