Healthcare Provider Details

I. General information

NPI: 1871018440
Provider Name (Legal Business Name): HOUSTON ANESTHESIOLOGY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 08/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 SPRING STUEBNER RD STE 110
SPRING TX
77389-5195
US

IV. Provider business mailing address

PO BOX 46128
HOUSTON TX
77210-6128
US

V. Phone/Fax

Practice location:
  • Phone: 346-800-6001
  • Fax:
Mailing address:
  • Phone: 832-968-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. KENNETH LE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 832-968-7001