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1063739035
TRAVIS DEAN LAQUA
HOUSTON, TX
NPI
1063739035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 717765)
Enumeration Date
2010-04-29
Last Update Date
2023-01-20
Business Address
TRAVIS DEAN LAQUA CRNA
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-500-6200
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Mailing Address
TRAVIS DEAN LAQUA CRNA
6431 FANNIN ST # 5.020
HOUSTON, TX 77030-1501
Phone number: 713-500-6200
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