Provider Demographics
NPI:1750349783
Name:ARMER, BLAINE HUGH (CRNA)
Entity type:Individual
Prefix:MR
First Name:BLAINE
Middle Name:HUGH
Last Name:ARMER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9408 SUNDANCE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2892
Mailing Address - Country:US
Mailing Address - Phone:281-412-7553
Mailing Address - Fax:936-639-3064
Practice Address - Street 1:9408 SUNDANCE DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2892
Practice Address - Country:US
Practice Address - Phone:281-412-7553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX570899367500000X
TX47380367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0034183-05Medicaid
TX86178UOtherBLUE CROSS BLUE SHIELD
TX86178UOtherBLUE CROSS BLUE SHIELD