Provider Demographics
NPI:1346580909
Name:CAMPBELL ANESTHESIA GROUP, PLLC
Entity Type:Organization
Organization Name:CAMPBELL ANESTHESIA GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GOWRAPPALA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAMESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACP, AGAF
Authorized Official - Phone:713-464-1650
Mailing Address - Street 1:1438 CAMPBELL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4647
Mailing Address - Country:US
Mailing Address - Phone:713-464-1650
Mailing Address - Fax:713-464-1653
Practice Address - Street 1:1438 CAMPBELL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4647
Practice Address - Country:US
Practice Address - Phone:713-464-1650
Practice Address - Fax:713-464-1653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty