Healthcare Provider Details

I. General information

NPI: 1417067885
Provider Name (Legal Business Name): PASPOINT ANESTHESIA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3882 BIENVILLE BLVD
OCEAN SPRINGS MS
39564-5803
US

IV. Provider business mailing address

PO BOX 1432
PASCAGOULA MS
39568-1432
US

V. Phone/Fax

Practice location:
  • Phone: 228-872-6290
  • Fax: 228-762-0065
Mailing address:
  • Phone: 228-762-9080
  • Fax: 228-762-0065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number09345
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number09345
License Number StateMS

VIII. Authorized Official

Name: MRS. HAZEL MOLDEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 228-762-9080