Provider Demographics
NPI:1437215449
Name:METROWEST ANESTHESIA CARE, PLLC
Entity Type:Organization
Organization Name:METROWEST ANESTHESIA CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-464-9621
Mailing Address - Street 1:PO BOX 202517
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-2517
Mailing Address - Country:US
Mailing Address - Phone:713-464-9621
Mailing Address - Fax:
Practice Address - Street 1:921 GESSNER RD
Practice Address - Street 2:ATTN ANESTHESIA DEPT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2501
Practice Address - Country:US
Practice Address - Phone:713-464-9621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0033KZOtherBCBS OF TEXAS
TX179650001Medicaid
TX00442WMedicare ID - Type Unspecified
TX179650001Medicaid