Provider Demographics
NPI:1093399537
Name:SILVER LEAF ANESTHESIA SERVICES PLLC
Entity Type:Organization
Organization Name:SILVER LEAF ANESTHESIA SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING INCHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:THILANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:THILANKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-871-1525
Mailing Address - Street 1:25312 I-45 NORTH
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25312 I-45 NORTH
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:281-871-1525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty