Provider Demographics
NPI:1457482937
Name:CONROE AMBULATORY ANESTHESIA PA
Entity Type:Organization
Organization Name:CONROE AMBULATORY ANESTHESIA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHESSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-703-5086
Mailing Address - Street 1:1020 RIVERWOOD CT STE 110
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2974
Mailing Address - Country:US
Mailing Address - Phone:936-703-5086
Mailing Address - Fax:936-703-5195
Practice Address - Street 1:1020 RIVERWOOD CT STE 200
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2974
Practice Address - Country:US
Practice Address - Phone:936-730-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty