1588191571 NPI number — U S ANESTHESIA PARTNERS OF TEXAS, PA

Table of content: (NPI 1588191571)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588191571 NPI number — U S ANESTHESIA PARTNERS OF TEXAS, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
U S ANESTHESIA PARTNERS OF TEXAS, PA
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:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588191571
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 840853
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75284-0853
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-620-4000
Provider Business Mailing Address Fax Number:
713-458-4229

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
777 S FRY RD STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-458-4530
Provider Business Practice Location Address Fax Number:
713-458-4630
Provider Enumeration Date:
05/22/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JOLLEY
Authorized Official First Name:
TIFFANY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CRENDENTIALING
Authorized Official Telephone Number:
713-458-4169

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208VP0014X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363A00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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