Provider Demographics
NPI:1710580337
Name:CEDARS ANESTHESIOLOGY PLLC
Entity Type:Organization
Organization Name:CEDARS ANESTHESIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-283-9519
Mailing Address - Street 1:PO BOX 1315
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77383-1315
Mailing Address - Country:US
Mailing Address - Phone:832-298-6903
Mailing Address - Fax:819-410-1390
Practice Address - Street 1:25327 INTERSTATE 45 STE A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3521
Practice Address - Country:US
Practice Address - Phone:832-430-6286
Practice Address - Fax:819-410-1390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty