Provider Demographics
NPI:1992739916
Name:ANESTHESIA HEALTHCARE PARTNERS OF LAREDO, P. A.
Entity type:Organization
Organization Name:ANESTHESIA HEALTHCARE PARTNERS OF LAREDO, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ATHANASE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTEBUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-523-8875
Mailing Address - Street 1:1710 E SAUNDERS ST
Mailing Address - Street 2:SUITE 384
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5443
Mailing Address - Country:US
Mailing Address - Phone:956-523-8875
Mailing Address - Fax:956-523-8689
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:SUITE 384
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-523-8875
Practice Address - Fax:956-523-8689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCK8127OtherMEDICARE RAIL ROAD
TXCK8127OtherMEDICARE RAIL ROAD