Basic Information
| Provider Information | |||||||||
| NPI: | 1184828881 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | US ANESTHETIC SERVICES P A | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1643 | ||||||||
| Address2: | |||||||||
| City: | STAFFORD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774971643 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002493478 | ||||||||
| FaxNumber: | 7135926772 | ||||||||
| Practice Location | |||||||||
| Address1: | 10926 EAST FWY | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770291912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136642800 | ||||||||
| FaxNumber: | 7136643355 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2007 | ||||||||
| LastUpdateDate: | 01/19/2021 | ||||||||
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| AuthorizedOfficialLastName: | ROSS | ||||||||
| AuthorizedOfficialFirstName: | DEBBIE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF MANAGED CARE | ||||||||
| AuthorizedOfficialTelephone: | 2817727749 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP3300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Pain |
No ID Information.