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NPI Code Detail

MEDICARE: AFFILIATED ANESTHESIA ASSOCIATION PA

MEDICARE: AFFILIATED ANESTHESIA ASSOCIATION PA
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1356395560
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFILIATED ANESTHESIA ASSOCIATION PA
Provider Business Mailing Address
First Line : PO BOX 73265
Second Line :
City : HOUSTON
State : TX
Zip : 77273-3265
Country : US
Telephone Number : 281-580-9030
Fax Number : 281-580-2725
Provider Business Practice Location Address
First Line : 2727 GRAMERCY
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1617
Country : US
Telephone Number : 281-580-9030
Fax Number : 281-580-2725
Authorized Official
Title or Position : ADMINISTRATOR
Name : IRENE FONTENOT
Credential :
Telephone Number : 281-580-9030
Provider Enumeration Date : 05/20/2006
Last Update Date : 02/08/2010

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Directions to “AFFILIATED ANESTHESIA ASSOCIATION PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.