Provider Demographics
NPI:1285622316
Name:ANESTHESIA SPECIALISTS OF HOUSTON, L.L.P
Entity type:Organization
Organization Name:ANESTHESIA SPECIALISTS OF HOUSTON, L.L.P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-790-1349
Mailing Address - Street 1:7900 FANNIN ST
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2900
Mailing Address - Country:US
Mailing Address - Phone:713-790-1349
Mailing Address - Fax:713-790-0028
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:SUITE 2300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2900
Practice Address - Country:US
Practice Address - Phone:713-790-1349
Practice Address - Fax:713-790-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX090118301Medicaid
TX00C26COtherBLUE CROSS BLUE SHIELD
TX00C26CMedicare PIN