Provider Demographics
NPI:1225547979
Name:CHALLENGER ANESTHESIA ASSOCIATES PLLC
Entity Type:Organization
Organization Name:CHALLENGER ANESTHESIA ASSOCIATES PLLC
Other - Org Name:ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-310-3816
Mailing Address - Street 1:1120 NASA PKWY STE 220Q
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3342
Mailing Address - Country:US
Mailing Address - Phone:214-310-3816
Mailing Address - Fax:
Practice Address - Street 1:12853 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4807
Practice Address - Country:US
Practice Address - Phone:214-310-3816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty