Provider Demographics
NPI:1316388226
Name:SPICEWOOD ANESTHESIA ASSOCIATES
Entity type:Organization
Organization Name:SPICEWOOD ANESTHESIA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CLEMENT
Authorized Official - Middle Name:
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-219-8787
Mailing Address - Street 1:9707 ANDERSON MILL RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2298
Mailing Address - Country:US
Mailing Address - Phone:512-219-8787
Mailing Address - Fax:512-219-8788
Practice Address - Street 1:9707 ANDERSON MILL RD
Practice Address - Street 2:SUITE 240
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2298
Practice Address - Country:US
Practice Address - Phone:512-219-8787
Practice Address - Fax:512-219-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8231207L00000X
TXM5594207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty