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NPI Code Detail

MEDICARE: ANESTHESIA ASSOCIATES

MEDICARE: ANESTHESIA ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist

General Provider Information

NPI Number : 1215232418
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIA ASSOCIATES
Provider Business Mailing Address
First Line : 17150 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2738
Country : US
Telephone Number : 281-218-9515
Fax Number : 281-218-9534
Provider Business Practice Location Address
First Line : 17150 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2738
Country : US
Telephone Number : 281-218-9515
Fax Number : 281-218-9534
Authorized Official
Title or Position : NURSE ANESTHETIST
Name : MR. JORDAN WESLEY TAYLOR
Credential : C.R.N.A.
Telephone Number : 318-372-9207
Provider Enumeration Date : 01/19/2011
Last Update Date : 01/19/2011

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Directions to “ANESTHESIA ASSOCIATES ” Practice Location

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