Provider Demographics
NPI:1922405950
Name:3RD COAST ANESTHESIA PLLC
Entity Type:Organization
Organization Name:3RD COAST ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:WARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-922-0136
Mailing Address - Street 1:5502 SILVERPARK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-7642
Mailing Address - Country:US
Mailing Address - Phone:832-922-0136
Mailing Address - Fax:877-926-9479
Practice Address - Street 1:5502 SILVERPARK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-7642
Practice Address - Country:US
Practice Address - Phone:832-922-0136
Practice Address - Fax:877-926-9479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9003207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL9003OtherTEXAS MEDICAL BOARD