Provider Demographics
NPI:1982909107
Name:GO, KATHERINE BERNAS (CRNA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BERNAS
Last Name:GO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7010 CHAMPIONS PLAZA DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2395
Mailing Address - Country:US
Mailing Address - Phone:281-880-9180
Mailing Address - Fax:832-698-5171
Practice Address - Street 1:7010 CHAMPIONS PLAZA DR STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2395
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2020-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP120139367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX280846101Medicaid
TXP00962835OtherRR MEDICARE
TX8506UBOtherBCBS
TX280846402Medicaid
TX280846101Medicaid