Provider Demographics
NPI:1114977139
Name:BAYOU ANESTHESIA AND PAIN P.A.
Entity Type:Organization
Organization Name:BAYOU ANESTHESIA AND PAIN P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BETHEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-698-5330
Mailing Address - Street 1:7010 CHAMPIONS PLAZA DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2396
Mailing Address - Country:US
Mailing Address - Phone:832-698-5320
Mailing Address - Fax:425-609-0599
Practice Address - Street 1:7010 CHAMPIONS PLAZA DR
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2396
Practice Address - Country:US
Practice Address - Phone:832-698-5320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00C58POtherCRNA BCBS GRP #
TX145835801Medicaid
TX0078GSOtherBCBS GROUP #
TX145835801Medicaid
TX0078GSOtherBCBS GROUP #