Healthcare Provider Details

I. General information

NPI: 1487545018
Provider Name (Legal Business Name): STONE OAK ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 VIENTO PT
SAN ANTONIO TX
78260-4324
US

IV. Provider business mailing address

6034 W COURTYARD DR STE 110
AUSTIN TX
78730-5064
US

V. Phone/Fax

Practice location:
  • Phone: 801-808-6907
  • Fax:
Mailing address:
  • Phone: 801-808-6907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: COLE HELM
Title or Position: OWNER/MD
Credential: MD
Phone: 801-808-6907