Paige Thibodeaux Shouse, CRNA
Nurse Anesthetist, Certified Registered in Dallas, TX. Individual provider (NPI-1).
NPI number1902425150
StatusActive
Last updated in NPPESFeb 3, 2023
Details
- NPI
- 1902425150
- Entity type
- Individual (NPI-1)
- Name
- Paige Thibodeaux Shouse
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2020
- Certification date
- Feb 3, 2023
- Last updated
- Feb 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1008452 | TX | Yes |
Other names
- Paige L Thibodeaux (Former Name)
Practice location
12222 Merit Dr Ste 600Dallas, TX 75251-3294
Phone 972-715-5000 · Fax 972-715-9976
Mailing address
Po Box 840853Dallas, TX 75284-5332
Phone 972-233-1999 · Fax 972-233-3666
Other practice locations
1201 W 38th St Ste 570
Austin, TX 78705-1006
Austin, TX 78705-1006
Phone 512-454-2554 · Fax 512-454-2824
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