Healthcare Provider Details

I. General information

NPI: 1649512096
Provider Name (Legal Business Name): SPRING CREEK ANESTHESIA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 03/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 GRAHAM DR SUITE 240
TOMBALL TX
77375-3346
US

IV. Provider business mailing address

506 GRAHAM DR SUITE 240
TOMBALL TX
77375-3346
US

V. Phone/Fax

Practice location:
  • Phone: 281-351-3830
  • Fax: 281-351-6275
Mailing address:
  • Phone: 281-351-3830
  • Fax: 281-351-6275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. RAKA CHAUHAN GOHEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 281-351-3830