Provider Demographics
NPI:1417941204
Name:TEXAS ANESTHESIOLOGY CONSULTANTS OF HOUSTON PA
Entity Type:Organization
Organization Name:TEXAS ANESTHESIOLOGY CONSULTANTS OF HOUSTON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-348-0426
Mailing Address - Street 1:PO BOX 3945
Mailing Address - Street 2:DEPT 453
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3945
Mailing Address - Country:US
Mailing Address - Phone:281-358-8114
Mailing Address - Fax:281-358-0609
Practice Address - Street 1:333 N TEXAS AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4966
Practice Address - Country:US
Practice Address - Phone:281-335-1700
Practice Address - Fax:281-335-1708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9941207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX308736OtherANTHEM BCBS VIRGINIA
TX0090MSOtherBCBS
TX00C785OtherBCBS
TXDD5133OtherRAILROAD MEDICARE
TX173825401Medicaid
TX00C785OtherBCBS