Healthcare Provider Details

I. General information

NPI: 1568655314
Provider Name (Legal Business Name): GLOBAL ANESTHESIA SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 03/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25440 I-45 NORTH SUITE 200
SPRING TX
77386
US

IV. Provider business mailing address

5535 MEMORIAL DRIVE SUITE F 104
HOUSTON TX
77007
US

V. Phone/Fax

Practice location:
  • Phone: 713-429-5919
  • Fax: 888-572-8004
Mailing address:
  • Phone: 713-429-5919
  • Fax: 888-572-8004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberJ8842
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberJ8842
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberJ8842
License Number StateTX

VIII. Authorized Official

Name: MRS. PAMELA DOYLENE WILSON
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 713-429-5919