MEDICARE: GOLDEN TRIANGLE ANESTHESIA ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104822188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN TRIANGLE ANESTHESIA ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 1177
Second Line	:
City	:	PORT NECHES
State	:	TX
Zip	:	77651-1177
Country	:	US
Telephone Number	:	409-722-6571
Fax Number	:	409-722-2999

Provider Business Practice Location Address
First Line	:	2530 NALL ST
Second Line	:
City	:	PORT NECHES
State	:	TX
Zip	:	77651-4706
Country	:	US
Telephone Number	:	409-722-6571
Fax Number	:	409-722-2999

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	TING-ING TSAI
Credential	:	M.D.
Telephone Number	:	409-722-6571

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/21/2022

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Directions to “GOLDEN TRIANGLE ANESTHESIA ASSOCIATES ” Practice Location

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