Healthcare Provider Details

I. General information

NPI: 1891374641
Provider Name (Legal Business Name): ARROW ANESTHESIA ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 S TRAVIS AVE
CLEVELAND TX
77327-5152
US

IV. Provider business mailing address

5300 N BRAESWOOD BLVD # 147
HOUSTON TX
77096-3307
US

V. Phone/Fax

Practice location:
  • Phone: 832-279-2369
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: TAM CASIMIR
Title or Position: MANAGER
Credential: DO
Phone: 832-279-2369