Basic Information
Provider Information
NPI: 1205491305
EntityType: 2
ReplacementNPI:  
OrganizationName: SCHERTZ ANESTHESIA LLC
LastName:  
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Mailing Information
Address1: P.O. BOX 4356
Address2: DEPT 1601
City: HOUSTON
State: TX
PostalCode: 772104356
CountryCode: US
TelephoneNumber: 2813588114
FaxNumber: 2813580609
Practice Location
Address1: 17005 IH 35 N STE 2
Address2:  
City: SCHERTZ
State: TX
PostalCode: 781541227
CountryCode: US
TelephoneNumber: 2106143600
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/03/2019
LastUpdateDate: 07/20/2022
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: LEHMANN
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: D
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 2107485770
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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