Provider Demographics
NPI:1356330096
Name:ASSOCIATION ANESTHESIOLOGISTS
Entity Type:Organization
Organization Name:ASSOCIATION ANESTHESIOLOGISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-659-3284
Mailing Address - Street 1:DEPT 5010 BOX 4283
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4283
Mailing Address - Country:US
Mailing Address - Phone:800-394-4445
Mailing Address - Fax:706-650-1034
Practice Address - Street 1:4747 BELLAIRE BLVD
Practice Address - Street 2:SUITE 580
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-0002
Practice Address - Country:US
Practice Address - Phone:713-659-3284
Practice Address - Fax:713-659-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-16
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126660303Medicaid
TXCC8131OtherRAILROAD MEDICARE
TX126660303Medicaid