Healthcare Provider Details

I. General information

NPI: 1376211367
Provider Name (Legal Business Name): GEMINI ANESTHESIA AND PAIN CONSULTANTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 04/25/2022
Certification Date: 04/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19750 STATE HIGHWAY 46 W STE 104
SPRING BRANCH TX
78070-6881
US

IV. Provider business mailing address

19750 STATE HIGHWAY 46 W STE 104
SPRING BRANCH TX
78070-6881
US

V. Phone/Fax

Practice location:
  • Phone: 830-515-5131
  • Fax: 830-282-4929
Mailing address:
  • Phone: 830-515-5131
  • Fax: 270-220-0513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TRISTAN LAI
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 830-515-5131