Provider Demographics
NPI:1780672055
Name:THE PATIENT'S ANESTHESIA GROUP PA
Entity Type:Organization
Organization Name:THE PATIENT'S ANESTHESIA GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:MCALLEN
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-938-5361
Mailing Address - Street 1:PO BOX 3945
Mailing Address - Street 2:DEPT 336
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3945
Mailing Address - Country:US
Mailing Address - Phone:281-358-8114
Mailing Address - Fax:281-358-0609
Practice Address - Street 1:500 W MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4220
Practice Address - Country:US
Practice Address - Phone:281-338-3768
Practice Address - Fax:281-338-3915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8085207L00000X
207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149205003Medicaid
TX0041HQOtherBLUE CROSS/BLUE SHIELD
TX00C89POtherBLUE CROSS/BLUE SHIELD
TXCJ8977OtherRAILROAD MEDICARE
TX149205001Medicaid
TX149205001Medicaid
TXCJ8977OtherRAILROAD MEDICARE