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NPI Code Detail

MEDICARE: RVW ANESTHESIA LLC

MEDICARE: RVW ANESTHESIA 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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1558002659
Entity Type Code : Organization
Provider Name (Legal Business Name) : RVW ANESTHESIA LLC
Provider Business Mailing Address
First Line : 4126 SOUTHWEST FWY STE 108
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7318
Country : US
Telephone Number : 713-622-4995
Fax Number :
Provider Business Practice Location Address
First Line : 4126 SOUTHWEST FWY STE 108
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7318
Country : US
Telephone Number : 713-622-4995
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DELFINA VILLEGAS
Credential :
Telephone Number : 713-626-5544
Provider Enumeration Date : 04/05/2022
Last Update Date : 04/05/2022

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Directions to “RVW ANESTHESIA LLC ” Practice Location

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