Provider Demographics
NPI:1992176226
Name:NH ANESTHESIA HEALTH NETWORK, LLC
Entity type:Organization
Organization Name:NH ANESTHESIA HEALTH NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-304-4959
Mailing Address - Street 1:PO BOX 674171
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-4171
Mailing Address - Country:US
Mailing Address - Phone:501-304-4959
Mailing Address - Fax:972-294-3754
Practice Address - Street 1:11700 KATY FWY
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1216
Practice Address - Country:US
Practice Address - Phone:501-304-4959
Practice Address - Fax:972-294-3754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty