Provider Demographics
NPI:1457674442
Name:FIRST SURGICAL ANESTHESIA SERVICES
Entity Type:Organization
Organization Name:FIRST SURGICAL ANESTHESIA SERVICES
Other - Org Name:LONE STAR ANESTHESIA GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:281-540-7500
Mailing Address - Street 1:808 RUSSELL PALMER RD
Mailing Address - Street 2:SUITE 151
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1689
Mailing Address - Country:US
Mailing Address - Phone:281-540-7500
Mailing Address - Fax:281-540-7502
Practice Address - Street 1:111 VISION PARK BLVD
Practice Address - Street 2:200
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3002
Practice Address - Country:US
Practice Address - Phone:936-271-1011
Practice Address - Fax:936-271-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty