Provider Demographics
NPI:1376778472
Name:GREATER HOUSTON ANESTHESIOLOGY
Entity Type:Organization
Organization Name:GREATER HOUSTON ANESTHESIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SRNA
Authorized Official - Prefix:MS
Authorized Official - First Name:EVIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:FURGESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-419-9958
Mailing Address - Street 1:5353 MEMORIAL DR
Mailing Address - Street 2:# 2025
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8266
Mailing Address - Country:US
Mailing Address - Phone:713-419-9958
Mailing Address - Fax:
Practice Address - Street 1:2411 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4817
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXX207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty