Basic Information
Provider Information
NPI: 1306975487
EntityType: 2
ReplacementNPI:  
OrganizationName: ANESTHESIA ASSOCIATES LLP
LastName:  
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Mailing Information
Address1: 17150 EL CAMINO REAL
Address2: STE E
City: HOUSTON
State: TX
PostalCode: 770582738
CountryCode: US
TelephoneNumber: 2812189515
FaxNumber: 2812189534
Practice Location
Address1: 500 MEDICAL CENTER BLVD
Address2:  
City: WEBSTER
State: TX
PostalCode: 775984220
CountryCode: US
TelephoneNumber: 2813322511
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/05/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: ROBSON
AuthorizedOfficialFirstName: YOLANDA
AuthorizedOfficialMiddleName: E
AuthorizedOfficialTitleorPosition: ASSISTANT OFFICE MANAGER
AuthorizedOfficialTelephone: 2812189515
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X  Y193400000X SINGLE SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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