Provider Demographics
NPI:1184813883
Name:BCS PHYSICIANS ANESTHESIA SERVICES
Entity type:Organization
Organization Name:BCS PHYSICIANS ANESTHESIA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEU
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOTT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:866-240-8036
Mailing Address - Street 1:8700 REDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5579
Mailing Address - Country:US
Mailing Address - Phone:866-240-8036
Mailing Address - Fax:
Practice Address - Street 1:8700 REDWOOD ST
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5579
Practice Address - Country:US
Practice Address - Phone:866-240-8036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6583207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
71086908OtherRAILROAD MEDICARE
TX00544VMedicare PIN