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1326374984
SCOTT THOMAS DETIVEAUX
HOUSTON, TX
NPI
1326374984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP118739)
Enumeration Date
2009-11-02
Last Update Date
2020-07-30
Business Address
Mr. SCOTT THOMAS DETIVEAUX CRNA
1500 CITYWEST BLVD STE. 300
HOUSTON, TX 77042-2300
Phone number: 713-620-4000
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Mailing Address
Mr. SCOTT THOMAS DETIVEAUX CRNA
PO BOX 840853
DALLAS, TX 75284-0865
Phone number: 972-233-1999
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