Provider Demographics
NPI:1851095970
Name:NEPTUNE ANESTHESIA SERVICES, PLLC
Entity Type:Organization
Organization Name:NEPTUNE ANESTHESIA SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MALLIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARETHIMMAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-481-8839
Mailing Address - Street 1:19141 STONE OAK PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3367
Mailing Address - Country:US
Mailing Address - Phone:210-657-4131
Mailing Address - Fax:210-598-4732
Practice Address - Street 1:19284 STONE OAK PKWY STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3474
Practice Address - Country:US
Practice Address - Phone:210-268-0124
Practice Address - Fax:210-598-4732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty