Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mwaibviseni Mutezo, AA

Individual provider Anesthesiologist Assistant · NPI 1649802414

Mwaibviseni Mutezo, AA is an Anesthesiology Assistant in Houston, Texas. Qualified in 2020, 6 years ago. Practices with Physicians Referral Service, a 2,727-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone: (713) 792-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 32697627 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649802414
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing addressPo Box 4439, Houston, TX 77210-4439

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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