Adalsteinsson, Suzanne Tancock

Adalsteinsson, Suzanne Tancock is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Adalsteinsson, Suzanne Tancock can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4000
Phone: (713) 792-6161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP113170 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 054282 Texas

Profile Details

NPI number 1487707907
LBN Legal business name Adalsteinsson, Suzanne Tancock
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jan 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487707907 NPPES
Texas Other 88430U BCBS
Texas Other 168523208 BCBS
Texas MEDICAID 168523207 BCBS

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