MEDICARE: RIVER OAKS ANESTHESIA CONSULTANTS 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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CF8079	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00979K	OTHER	TX	BLUE CROSS BLUE SHIELD
2	00337N	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1669468922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVER OAKS ANESTHESIA CONSULTANTS PA

Provider Business Mailing Address
First Line	:	1075 KINGWOOD DR
Second Line	:	SUITE 150
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3006
Country	:	US
Telephone Number	:	281-358-8114
Fax Number	:	281-358-0609

Provider Business Practice Location Address
First Line	:	4120 SOUTHWEST FWY
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77027-7339
Country	:	US
Telephone Number	:	713-626-8500
Fax Number	:	713-626-8560

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN EDWARD MORAGNE
Credential	:	MD
Telephone Number	:	713-626-8500

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	11/06/2007

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Directions to “RIVER OAKS ANESTHESIA CONSULTANTS PA ” Practice Location

Language	Start Address	Practice Location

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