Provider Demographics
NPI:1750857421
Name:G. ANESTHESIA, PLLC
Entity Type:Organization
Organization Name:G. ANESTHESIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:252-288-1256
Mailing Address - Street 1:116 SURSEE COURT
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-7071
Mailing Address - Country:US
Mailing Address - Phone:252-288-1256
Mailing Address - Fax:
Practice Address - Street 1:VASCULAR CARE OF NEW BERN
Practice Address - Street 2:970 NEWMAN ROAD
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5200
Practice Address - Country:US
Practice Address - Phone:252-635-0138
Practice Address - Fax:252-635-0007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:G. ANESTHESIA, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty