Provider Demographics
NPI:1982254223
Name:DEERBROOK ENDO SEDATION PLC
Entity type:Organization
Organization Name:DEERBROOK ENDO SEDATION PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHANH
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-476-1411
Mailing Address - Street 1:310 KINGWOOD EXECUTIVE DR STE A
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2752
Mailing Address - Country:US
Mailing Address - Phone:844-705-3309
Mailing Address - Fax:832-412-4331
Practice Address - Street 1:310 KINGWOOD EXECUTIVE DR STE A
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2752
Practice Address - Country:US
Practice Address - Phone:832-412-4330
Practice Address - Fax:832-412-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty