Provider Demographics
NPI: | 1417321738 |
---|---|
Name: | C&P ANESTHESIOLOGY PLLC |
Entity type: | Organization |
Organization Name: | C&P ANESTHESIOLOGY PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | CARLOS |
Authorized Official - Middle Name: | E |
Authorized Official - Last Name: | RIOS-SIERRA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 713-829-8877 |
Mailing Address - Street 1: | PO BOX 95426 |
Mailing Address - Street 2: | |
Mailing Address - City: | GRAPEVINE |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76099-9735 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-829-8877 |
Mailing Address - Fax: | 281-600-5579 |
Practice Address - Street 1: | 510 W TIDWELL RD |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77091-4339 |
Practice Address - Country: | US |
Practice Address - Phone: | 713-829-8877 |
Practice Address - Fax: | 281-605-5792 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-11-24 |
Last Update Date: | 2015-11-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | L1441 | 207L00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | Group - Multi-Specialty |