MEDICARE: PHOENIX ANESTHESIA ASSOCIATES, LLC

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

General Provider Information

NPI Number	:	1275484990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX ANESTHESIA ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 86
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77001-0086
Country	:	US
Telephone Number	:	281-721-5525
Fax Number	:	281-473-0909

Provider Business Practice Location Address
First Line	:	4219 RICHMOND AVE STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6838
Country	:	US
Telephone Number	:	713-634-4433
Fax Number	:	713-634-4436

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. CANH NGUYEN
Credential	:	MD
Telephone Number	:	832-488-8772

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	04/14/2026

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