1346093895 NPI number — BRIDGE-IT ANESTHESIA, PLLC

Table of content: PAULA JANELLE NEWINSKI RN (NPI 1760366199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346093895 NPI number — BRIDGE-IT ANESTHESIA, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIDGE-IT ANESTHESIA, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346093895
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
124 CALLE JACARANDA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROWNSVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78520-7412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-799-5234
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5700 N EXPRESSWAY STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78526-4358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-708-2242
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/05/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MARREN
Authorized Official First Name:
JESSICA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
512-799-5234

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)