MEDICARE: GESSNER ANESTHESIA ASSOCIATES PLLC

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
2	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1578799532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GESSNER ANESTHESIA ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	3030 S GESSNER RD
Second Line	:	STE 145
City	:	HOUSTON
State	:	TX
Zip	:	77063-3765
Country	:	US
Telephone Number	:	713-636-9720
Fax Number	:	832-767-4977

Provider Business Practice Location Address
First Line	:	3030 S. GESSNER
Second Line	:	SUITE 150
City	:	HOUSTON
State	:	TX
Zip	:	77063-3777
Country	:	US
Telephone Number	:	713-587-0909
Fax Number	:	713-587-0912

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GEORGE WHALEN
Credential	:	MD
Telephone Number	:	713-988-7188

Provider Enumeration Date	:	06/04/2009
Last Update Date	:	10/10/2018

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