Provider Demographics
NPI:1518229103
Name:ETHOS HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ETHOS HEALTHCARE, INC.
Other - Org Name:ETHOS ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-551-0810
Mailing Address - Street 1:4330 GAINES RANCH LOOP
Mailing Address - Street 2:220
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6733
Mailing Address - Country:US
Mailing Address - Phone:512-551-0808
Mailing Address - Fax:512-782-2215
Practice Address - Street 1:4330 GAINES RANCH LOOP
Practice Address - Street 2:220
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6733
Practice Address - Country:US
Practice Address - Phone:512-551-0808
Practice Address - Fax:512-782-2215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty