Provider Demographics
NPI:1134352982
Name:BRAZOS ANESTHESIA PLLC
Entity type:Organization
Organization Name:BRAZOS ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-817-2113
Mailing Address - Street 1:6350 HIGHWAY 90A
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2021
Mailing Address - Country:US
Mailing Address - Phone:281-494-6900
Mailing Address - Fax:281-494-6919
Practice Address - Street 1:6350 HIGHWAY 90A
Practice Address - Street 2:SUITE 700
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-2021
Practice Address - Country:US
Practice Address - Phone:281-494-6900
Practice Address - Fax:281-494-6919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7042207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty