Healthcare Provider Details

I. General information

NPI: 1700875069
Provider Name (Legal Business Name): KATY WEST HOUSTON ANESTHESIA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12811 BEAMER RD STE C
HOUSTON TX
77089-6140
US

IV. Provider business mailing address

PO BOX 154133
LUFKIN TX
75915-4133
US

V. Phone/Fax

Practice location:
  • Phone: 281-380-2620
  • Fax: 832-645-1180
Mailing address:
  • Phone: 936-639-3036
  • Fax: 936-639-3064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG7724
License Number StateTX

VIII. Authorized Official

Name: DR. ARTURO SOBARZO
Title or Position: PRESIDENT
Credential: MD
Phone: 281-348-0426