Provider Demographics
NPI:1467869529
Name:PROFIT ANESTHESIA CONSULTANTS LLC
Entity Type:Organization
Organization Name:PROFIT ANESTHESIA CONSULTANTS LLC
Other - Org Name:PROFIT ANESTHESIA CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PROFIT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:678-878-6818
Mailing Address - Street 1:PO BOX 66791
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77266-6791
Mailing Address - Country:US
Mailing Address - Phone:713-993-6053
Mailing Address - Fax:866-810-8005
Practice Address - Street 1:800 WILCREST DR STE 213
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-1360
Practice Address - Country:US
Practice Address - Phone:139-936-0537
Practice Address - Fax:866-810-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367500000X
TX817537251F00000X, 251G00000X, 261QP3300X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain