1992739916 NPI number — ANESTHESIA HEALTHCARE PARTNERS OF LAREDO, P. A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992739916 NPI number — ANESTHESIA HEALTHCARE PARTNERS OF LAREDO, P. A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANESTHESIA HEALTHCARE PARTNERS OF LAREDO, P. A.
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:
1992739916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1710 E SAUNDERS ST
Provider Second Line Business Mailing Address:
SUITE 384
Provider Business Mailing Address City Name:
LAREDO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78041-5443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-523-8875
Provider Business Mailing Address Fax Number:
956-523-8689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1710 E SAUNDERS ST
Provider Second Line Business Practice Location Address:
SUITE 384
Provider Business Practice Location Address City Name:
LAREDO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78041-5443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-523-8875
Provider Business Practice Location Address Fax Number:
956-523-8689
Provider Enumeration Date:
07/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RUTEBUKA
Authorized Official First Name:
ATHANASE
Authorized Official Middle Name:
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
956-523-8875

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)

  • Identifier: CK8127 . This is a "MEDICARE RAIL ROAD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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