MEDICARE: DEEP EAST TEXAS ANESTHESIA

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	367500000X	Certified Registered Nurse Anesthetist
2	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1942879580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEEP EAST TEXAS ANESTHESIA

Provider Business Mailing Address
First Line	:	638A N UNIVERSITY DR # 216
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75961-4617
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4948 NE STALLINGS DR
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1265
Country	:	US
Telephone Number	:	936-568-3595
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL S BREWTON
Credential	:	CRNA
Telephone Number	:	936-552-4760

Provider Enumeration Date	:	06/18/2021
Last Update Date	:	08/10/2021

Similar Medicare Providers

1225064736 — NMC SURGERY CENTER, L.P.
Practice Location Address:

4948 NE STALLINGS DR
NACOGDOCHES, TX
75965-1265

Practice Phone: 363-059-2129
Practice Fax: 939-280-5901

1528020823 — DR. PHILIP THEODORE LABARBERA M.D.
Practice Location Address:

4944 NE STALLINGS DR
NACOGDOCHES, TX
75965-1265

Practice Phone: 936-564-3751
Practice Fax: 936-560-5871

1700844867 — SATIR AND SATIR, PA
Practice Location Address:

4942 NE STALLINGS DR
NACOGDOCHES, TX
75965-1265

Practice Phone: 936-560-9595
Practice Fax: 936-462-7772

1700988516 — VICKI SATIR MD
Practice Location Address:

4942 NE STALLINGS DR
NACOGDOCHES, TX
75965-1265

Practice Phone: 936-560-9595
Practice Fax: 936-462-7772

1992807713 — CENGIZ SATIR MD
Practice Location Address:

4942 NE STALLINGS DR
NACOGDOCHES, TX
75965-1265

Practice Phone: 936-560-9595
Practice Fax: 936-462-7772

1861350530 — JERI HEDGES APRN
Practice Location Address:

3328 N UNIVERSITY DR
NACOGDOCHES, TX
75965-2681

Practice Phone: 936-568-3141
Practice Fax:

Directions to “DEEP EAST TEXAS ANESTHESIA ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.