TRAVIS DEAN LAQUA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063739035

TRAVIS DEAN LAQUA (CRNA) is a healthcare provider. based in Houston, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 717765 (TX). The NPI Number for TRAVIS DEAN LAQUA (CRNA) is 1063739035

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS DEAN LAQUA (CRNA)
NPI
1063739035
Phone
(713) 500-6200
Address
6431 FANNIN ST # 5.020
Enumeration Date
29 April 2010
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813413000
Graduation Year
2010 (16 years ago)
PAC ID
0345371332
Group Practice PAC ID
8426567769
Professional Enrollment ID
I20100708000907
Address ID
TX774693246RI1705XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for TRAVIS DEAN LAQUA (CRNA)

  • 6431 FANNIN ST # 5.020

    HOUSTON, TX 770301501

    Phone: (713) 500-6200

    Type: Mailing

  • 6411 FANNIN ST

    HOUSTON, TX 770301501

    Phone: (713) 500-6200

    Type: Location

  • PO BOX 4439

    HOUSTON, TX 772104439

    Phone: (713) 792-2991

    Type: Mailing

  • 1515 HOLCOMBE BLVD

    HOUSTON, TX 770304009

    Phone: (713) 792-6161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100708000907ICertified Registered Nurse Anesthetist (Crna)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1211$0
View full utilization report →

Insurance plans in this area (ZIP 77030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426567769View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Where can patients find TRAVIS DEAN LAQUA (CRNA)'s NPI?
You can confirm TRAVIS DEAN LAQUA (CRNA) with NPI 1063739035; it appears in the national provider directory.
Is TRAVIS DEAN LAQUA (CRNA)'s NPI currently valid?
The extract we use shows TRAVIS DEAN LAQUA (CRNA) as active.
What does TRAVIS DEAN LAQUA (CRNA) treat or focus on?
Patients typically see TRAVIS DEAN LAQUA (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does TRAVIS DEAN LAQUA (CRNA) practice in Texas?
You will see Houston, Texas on file for TRAVIS DEAN LAQUA (CRNA) alongside any extra practice locations.
How can I contact TRAVIS DEAN LAQUA (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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