Provider Demographics
NPI:1184068579
Name:ANESTHESIA PREMIER SERVICES PA
Entity type:Organization
Organization Name:ANESTHESIA PREMIER SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRZADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-284-9717
Mailing Address - Street 1:2955 HARRISON ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1154
Mailing Address - Country:US
Mailing Address - Phone:409-236-7246
Mailing Address - Fax:409-236-1611
Practice Address - Street 1:390 N 11TH ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1802
Practice Address - Country:US
Practice Address - Phone:409-981-5500
Practice Address - Fax:409-981-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty