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NPI Code Detail

MEDICARE: TEJAS ANESTHESIA PLLC

MEDICARE: TEJAS ANESTHESIA 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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1659383305
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEJAS ANESTHESIA PLLC
Provider Business Mailing Address
First Line : PO BOX 4147
Second Line :
City : CAROL STREAM
State : IL
Zip : 60197-4147
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Provider Business Practice Location Address
First Line : 2240 GULF FWY S
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-5143
Country : US
Telephone Number : 954-939-5000
Fax Number : 866-250-6889
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : ADAM BLOMBERG
Credential : MD
Telephone Number : 305-321-5757
Provider Enumeration Date : 08/12/2006
Last Update Date : 06/04/2026

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Directions to “TEJAS ANESTHESIA PLLC ” Practice Location

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