TRAVIS DEAN LAQUA

HOUSTON, TX
NPI1063739035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  717765)
Enumeration Date2010-04-29
Last Update Date2023-01-20
Business Address
TRAVIS DEAN LAQUA CRNA
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-500-6200
Mailing Address
TRAVIS DEAN LAQUA CRNA
6431 FANNIN ST # 5.020
HOUSTON, TX 77030-1501
Phone number: 713-500-6200