Provider Demographics
NPI:1346453776
Name:LAREDO ANESTHESIA SERVICES, P.A.
Entity Type:Organization
Organization Name:LAREDO ANESTHESIA SERVICES, P.A.
Other - Org Name:WORKMAN'S INJURY PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIEGFREDO
Authorized Official - Middle Name:MONTES
Authorized Official - Last Name:NADELA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-698-9212
Mailing Address - Street 1:6811 BRAVE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-2301
Mailing Address - Country:US
Mailing Address - Phone:210-698-9212
Mailing Address - Fax:210-698-9212
Practice Address - Street 1:6811 BRAVE WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-2301
Practice Address - Country:US
Practice Address - Phone:210-698-9212
Practice Address - Fax:210-698-9212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2816207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty