Provider Demographics
NPI:1679511307
Name:WESTLAKE ANESTHESIA GROUP PA
Entity Type:Organization
Organization Name:WESTLAKE ANESTHESIA GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PLAYFAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-639-3036
Mailing Address - Street 1:900 OLD KOENIG LN
Mailing Address - Street 2:#123
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1528
Mailing Address - Country:US
Mailing Address - Phone:936-639-3036
Mailing Address - Fax:936-639-3064
Practice Address - Street 1:5656 BEE CAVES RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:936-639-3036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0037NHOtherBCBS
TX0037NHOtherBCBS