Healthcare Provider Details

I. General information

NPI: 1669468922
Provider Name (Legal Business Name): RIVER OAKS ANESTHESIA CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4120 SOUTHWEST FWY SUITE 100
HOUSTON TX
77027-7339
US

IV. Provider business mailing address

1075 KINGWOOD DR SUITE 150
KINGWOOD TX
77339-3006
US

V. Phone/Fax

Practice location:
  • Phone: 713-626-8500
  • Fax: 713-626-8560
Mailing address:
  • Phone: 281-358-8114
  • Fax: 281-358-0609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOHN EDWARD MORAGNE
Title or Position: PRESIDENT
Credential: MD
Phone: 713-626-8500