Healthcare Provider Details
I. General information
NPI: 1679177869
Provider Name (Legal Business Name): GLOBAL ANESTHESIA SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2020
Last Update Date: 11/28/2020
Certification Date: 11/28/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4811 BRAESVALLEY DR
HOUSTON TX
77096-1717
US
IV. Provider business mailing address
4811 BRAESVALLEY DR
HOUSTON TX
77096-1717
US
V. Phone/Fax
- Phone: 832-279-2369
- Fax:
- Phone: 832-279-2369
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
T
CASIMIR
Title or Position: PHYSICIAN
Credential: DO
Phone: 832-279-2369