Healthcare Provider Details

I. General information

NPI: 1659856482
Provider Name (Legal Business Name): ALPHA ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 FM 1960 BYPASS RD E STE 360
HUMBLE TX
77338-3964
US

IV. Provider business mailing address

8524 HIGHWAY 6 N # 342
HOUSTON TX
77095-2103
US

V. Phone/Fax

Practice location:
  • Phone: 281-345-2743
  • Fax:
Mailing address:
  • Phone: 281-345-2743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARPNA DAVE
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 281-345-2743