Provider Demographics
NPI:1245683309
Name:CRYSTAL ANESTHESIA SERVICES, PLLC
Entity type:Organization
Organization Name:CRYSTAL ANESTHESIA SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:YARISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-467-0146
Mailing Address - Street 1:950 THREADNEEDLE ST STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2910
Mailing Address - Country:US
Mailing Address - Phone:800-585-0868
Mailing Address - Fax:713-467-0799
Practice Address - Street 1:950 THREADNEEDLE ST STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2910
Practice Address - Country:US
Practice Address - Phone:800-585-0868
Practice Address - Fax:713-467-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty