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General NPI Number Information
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NPI Number | 1598038770
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Entity Type | Organization
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Legal Business Name | ANESTHESIA COMPANY OF HOUSTON, PLLC
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST SUITE 600
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City | HOUSTON
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State | TX
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Zip | 77030-2761
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Country | US
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Telephone | 713-796-0500
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Fax | 713-797-1417
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Provider Business Mailing Address
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Address Line | PO BOX 301715
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City | DALLAS
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State | TX
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Zip | 75303-1715
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Country | US
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Telephone | 239-610-0775
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Fax |
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Authorized Official
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Title or Position | OFFICER AND AUTHORIZED OFFICIAL
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Name | JENNIFER B. BALDOCK
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Credential |
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Telephone | 615-234-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | TX
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