Provider Demographics
NPI:1184828881
Name:US ANESTHETIC SERVICES P A
Entity Type:Organization
Organization Name:US ANESTHETIC SERVICES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-772-7749
Mailing Address - Street 1:PO BOX 1643
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-1643
Mailing Address - Country:US
Mailing Address - Phone:800-249-3478
Mailing Address - Fax:713-592-6772
Practice Address - Street 1:10926 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1912
Practice Address - Country:US
Practice Address - Phone:713-664-2800
Practice Address - Fax:713-664-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G1465Medicare PIN
TX0098BHMedicare PIN