Provider Demographics
NPI:1891326096
Name:ANESTHESIOLOGY MANAGEMENT ASSOCIATES OF PARIS, LLC
Entity Type:Organization
Organization Name:ANESTHESIOLOGY MANAGEMENT ASSOCIATES OF PARIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:EDENHOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-784-1593
Mailing Address - Street 1:435 JOHNSON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-6332
Mailing Address - Country:US
Mailing Address - Phone:903-784-1593
Mailing Address - Fax:
Practice Address - Street 1:2655 NE LOOP 286
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-3444
Practice Address - Country:US
Practice Address - Phone:903-784-1593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEUROLOGY CARE ASSOCIATES,PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty