Provider Demographics
NPI:1619929619
Name:METRO WEST ANESTHESIA
Entity Type:Organization
Organization Name:METRO WEST ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:MS
Authorized Official - First Name:SATCHIE
Authorized Official - Middle Name:BREARD
Authorized Official - Last Name:SNELLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:ANESTHETIST
Authorized Official - Phone:713-242-3439
Mailing Address - Street 1:1302 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5230
Mailing Address - Country:US
Mailing Address - Phone:318-855-3437
Mailing Address - Fax:
Practice Address - Street 1:1302 N 2ND ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201
Practice Address - Country:US
Practice Address - Phone:318-855-3437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX639390282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital