SCOTT THOMAS DETIVEAUX

HOUSTON, TX
NPI1326374984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP118739)
Enumeration Date2009-11-02
Last Update Date2020-07-30
Business Address
Mr. SCOTT THOMAS DETIVEAUX CRNA
1500 CITYWEST BLVD STE. 300
HOUSTON, TX 77042-2300
Phone number: 713-620-4000
Mailing Address
Mr. SCOTT THOMAS DETIVEAUX CRNA
PO BOX 840853
DALLAS, TX 75284-0865
Phone number: 972-233-1999