Provider Demographics
NPI:1245519735
Name:HOUSTON METRO ANESTHESIA P.A.
Entity type:Organization
Organization Name:HOUSTON METRO ANESTHESIA P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRYK
Authorized Official - Middle Name:J
Authorized Official - Last Name:NIKICICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-444-3182
Mailing Address - Street 1:PO BOX 19757
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-9757
Mailing Address - Country:US
Mailing Address - Phone:713-444-3182
Mailing Address - Fax:
Practice Address - Street 1:8850 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3006
Practice Address - Country:US
Practice Address - Phone:888-243-4478
Practice Address - Fax:913-341-5797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2544207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty