Healthcare Provider Details
I. General information
NPI: 1255870507
Provider Name (Legal Business Name): SPRING WOODLANDS ANESTHESIA SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2017
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7010 CHAMPIONS PLAZA DR SUITE 400
HOUSTON TX
77069-2396
US
IV. Provider business mailing address
7010 CHAMPIONS PLAZA DR SUITE 400
HOUSTON TX
77069-2396
US
V. Phone/Fax
- Phone: 281-880-9180
- Fax: 832-698-5171
- Phone: 281-880-9180
- Fax: 832-698-5171
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DON
CARMICHAEL
Title or Position: PRESIDENT
Credential: MD
Phone: 281-880-9180