Provider Demographics
NPI:1669468922
Name:RIVER OAKS ANESTHESIA CONSULTANTS PA
Entity Type:Organization
Organization Name:RIVER OAKS ANESTHESIA CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MORAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-626-8500
Mailing Address - Street 1:1075 KINGWOOD DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3006
Mailing Address - Country:US
Mailing Address - Phone:281-358-8114
Mailing Address - Fax:281-358-0609
Practice Address - Street 1:4120 SOUTHWEST FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7339
Practice Address - Country:US
Practice Address - Phone:713-626-8500
Practice Address - Fax:713-626-8560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00979KOtherBLUE CROSS BLUE SHIELD
TX00337NOtherBLUE CROSS BLUE SHIELD
TXCF8079OtherRAILROAD MEDICARE
TX00979KMedicare ID - Type Unspecified
TXCF8079OtherRAILROAD MEDICARE