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NPI Code Detail

MEDICARE: ANESTHESIOLOGY CONSULTANTS OF HOUSTON PLLC

MEDICARE: ANESTHESIOLOGY CONSULTANTS OF HOUSTON PLLC
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianH7874TX
2367500000XCertified Registered Nurse Anesthetist
3207L00000XAnesthesiology PhysicianH7874TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CN6330OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100091KOTHERTXBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
400090KOTHERTXBLUE CROSS BLUE SHIELD
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225024706
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIOLOGY CONSULTANTS OF HOUSTON PLLC
Provider Business Mailing Address
First Line : PO BOX 203824
Second Line :
City : HOUSTON
State : TX
Zip : 77216-3824
Country : US
Telephone Number : 281-358-8114
Fax Number : 281-358-0609
Provider Business Practice Location Address
First Line : 8850 LONG POINT RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-3006
Country : US
Telephone Number : 713-827-1820
Fax Number : 713-468-7370
Authorized Official
Title or Position : PRESIDENT
Name : DR. TEODULO AVES
Credential : MD
Telephone Number : 713-827-1820
Provider Enumeration Date : 09/21/2005
Last Update Date : 06/04/2008

Similar Medicare Providers

1376538397 — DR. VALENTINO ROMERO IMPERIAL MD
Practice Location Address:
8850 LONG POINT RD
HOUSTON, TX
77055-3006
Practice Phone: 713-827-1820
Practice Fax: 713-468-7370
1821083825 — IRENE M MADRIZ CRNA
Practice Location Address:
8850 LONG POINT RD
HOUSTON, TX
77055-3006
Practice Phone: 713-827-1820
Practice Fax: 713-468-7370
1770567273 — ELLIOTT CLAY HUFFARD CRNA
Practice Location Address:
8850 LONG POINT RD
HOUSTON, TX
77055-3006
Practice Phone: 713-827-1820
Practice Fax: 713-468-7370
1053395574 — LUCY KEIL SHADOWENS CRNA
Practice Location Address:
8850 LONG POINT RD
HOUSTON, TX
77055-3006
Practice Phone: 713-827-1820
Practice Fax: 713-468-7370
1487639258 — WILLIAM O BLACKSTONE M.D.
Practice Location Address:
8850 LONG POINT RD
HOUSTON, TX
77055-3006
Practice Phone: 713-722-3775
Practice Fax: 713-722-3731
1528048774 — EVA M PRAKASH MD
Practice Location Address:
8850 LONG POINT RD
HOUSTON, TX
77055-3006
Practice Phone: 713-722-3775
Practice Fax: 713-722-3731

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