Provider Demographics
NPI:1205592185
Name:TEJAS ANESTHESIA PLLC
Entity type:Organization
Organization Name:TEJAS ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:SLEPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-629-3047
Mailing Address - Street 1:PO BOX 744976
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4976
Mailing Address - Country:US
Mailing Address - Phone:850-437-7731
Mailing Address - Fax:
Practice Address - Street 1:414 W SUNSET RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1768
Practice Address - Country:US
Practice Address - Phone:210-615-1187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty