Provider Demographics
NPI:1124445325
Name:TWILIGHT ANESTHESIA, PLLC
Entity type:Organization
Organization Name:TWILIGHT ANESTHESIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LEAD ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-969-2784
Mailing Address - Street 1:2220 CANTON ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-5923
Mailing Address - Country:US
Mailing Address - Phone:832-969-2784
Mailing Address - Fax:
Practice Address - Street 1:737 DELANO ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-3216
Practice Address - Country:US
Practice Address - Phone:832-969-2784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8869207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty