Provider Demographics
NPI:1477836260
Name:ANESTHESIA ASSOCIATES PAIN INSTITUTE PLLC
Entity Type:Organization
Organization Name:ANESTHESIA ASSOCIATES PAIN INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHANGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-838-5214
Mailing Address - Street 1:PO BOX 5827
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-5827
Mailing Address - Country:US
Mailing Address - Phone:409-212-6900
Mailing Address - Fax:409-212-6910
Practice Address - Street 1:740 HOSPITAL DR
Practice Address - Street 2:SUITE 150
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4664
Practice Address - Country:US
Practice Address - Phone:409-212-6900
Practice Address - Fax:409-212-6910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3960207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty