Provider Demographics
NPI:1427473263
Name:EPIX ANESTHESIA OF TEXAS PLLC
Entity type:Organization
Organization Name:EPIX ANESTHESIA OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MISASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-398-1299
Mailing Address - Street 1:3949 HOLCOMB BRIDGE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2294
Mailing Address - Country:US
Mailing Address - Phone:678-580-1349
Mailing Address - Fax:770-559-1231
Practice Address - Street 1:6999 MCPHERSON RD
Practice Address - Street 2:#219
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6449
Practice Address - Country:US
Practice Address - Phone:956-728-0030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty