Provider Demographics
NPI:1760495725
Name:NORTH HOUSTON ANESTHESIOLOGISTS, PA
Entity Type:Organization
Organization Name:NORTH HOUSTON ANESTHESIOLOGISTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAI
Authorized Official - Middle Name:
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-540-7500
Mailing Address - Street 1:808 RUSSELL PALMER RD
Mailing Address - Street 2:151
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1689
Mailing Address - Country:US
Mailing Address - Phone:281-540-7500
Mailing Address - Fax:281-540-7502
Practice Address - Street 1:808 RUSSELL PALMER RD
Practice Address - Street 2:151
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1689
Practice Address - Country:US
Practice Address - Phone:281-540-7500
Practice Address - Fax:281-540-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
No367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX090173802Medicaid
TX090173801Medicaid
TX090173802Medicaid
TX090173801Medicaid