Provider Demographics
NPI:1124114483
Name:EAST HOUSTON ANESTHESIOLOGY, P.A.
Entity type:Organization
Organization Name:EAST HOUSTON ANESTHESIOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:K
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-236-5100
Mailing Address - Street 1:PO BOX 20252
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0252
Mailing Address - Country:US
Mailing Address - Phone:713-349-8116
Mailing Address - Fax:713-349-8178
Practice Address - Street 1:12950 EAST FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5710
Practice Address - Country:US
Practice Address - Phone:713-330-3887
Practice Address - Fax:713-330-3897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9941207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00987ROtherBLUE CROSS/BLUE SHIELD
TX00C65ROtherBLUE CROSS/BLUE SHIELD
TXCK2050OtherRAILROAD MEDICARE
TXCK2050OtherRAILROAD MEDICARE
TX00003TMedicare ID - Type Unspecified