Healthcare Provider Details

I. General information

NPI: 1316122567
Provider Name (Legal Business Name): CONSULTANTS IN ANESTHESIA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 06/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 N STANTON ST
EL PASO TX
79902-3511
US

IV. Provider business mailing address

PO BOX 202448
DALLAS TX
75320-2448
US

V. Phone/Fax

Practice location:
  • Phone: 915-533-8412
  • Fax: 915-599-4141
Mailing address:
  • Phone: 575-532-7000
  • Fax: 575-532-7006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: GEORGE ALVAREZ
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 575-532-7000