Basic Information
Provider Information
NPI: 1972535243
EntityType: 2
ReplacementNPI:  
OrganizationName: SUMMIT ANESTHESIA, PA
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Mailing Information
Address1: 714 FM 1960 RD W
Address2: SUITE 206
City: HOUSTON
State: TX
PostalCode: 770903405
CountryCode: US
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Practice Location
Address1: 4126 SOUTHWEST FWY
Address2: SUITE 108
City: HOUSTON
State: TX
PostalCode: 770277310
CountryCode: US
TelephoneNumber: 2818806991
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2006
LastUpdateDate: 02/12/2008
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AuthorizedOfficialLastName: GARRETT
AuthorizedOfficialFirstName: JOHN
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AuthorizedOfficialTitleorPosition: PHYSICIAN
AuthorizedOfficialTelephone: 2818806991
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IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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