Basic Information
| Provider Information | |||||||||
| NPI: | 1831128537 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HCH ANESTHESIOLOGY GROUP PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14440 JOHN F KENNEDY BLVD | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770325300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328861900 | ||||||||
| FaxNumber: | 2812271139 | ||||||||
| Practice Location | |||||||||
| Address1: | 2807 LITTLE YORK RD | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770933405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136977777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2006 | ||||||||
| LastUpdateDate: | 10/13/2008 | ||||||||
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| AuthorizedOfficialLastName: | KOENIG | ||||||||
| AuthorizedOfficialFirstName: | SCOTT | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 8328861900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 160501601 | 05 | TX | MEDICAID |