MEDICARE: CONROE AMBULATORY ANESTHESIA 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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1457482937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONROE AMBULATORY ANESTHESIA PA

Provider Business Mailing Address
First Line	:	1020 RIVERWOOD CT STE 200
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2974
Country	:	US
Telephone Number	:	936-703-5086
Fax Number	:	936-703-5195

Provider Business Practice Location Address
First Line	:	1020 RIVERWOOD CT STE 200
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2974
Country	:	US
Telephone Number	:	936-730-8833
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	SARAH M CHESSHER
Credential	:
Telephone Number	:	936-703-5086

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	10/21/2025

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Directions to “CONROE AMBULATORY ANESTHESIA PA ” Practice Location

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