Provider Demographics
NPI:1255947347
Name:AUGUSTAN ANESTHESIA ASSOCIATES PLLC
Entity type:Organization
Organization Name:AUGUSTAN ANESTHESIA ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GENGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-370-4493
Mailing Address - Street 1:2333 BRIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76262-8823
Mailing Address - Country:US
Mailing Address - Phone:409-370-4493
Mailing Address - Fax:
Practice Address - Street 1:BAYLOR MEDICAL CTR AT TROPHY CLUB
Practice Address - Street 2:2850 E HIGHWAY 114
Practice Address - City:TROPHY CLUB
Practice Address - State:TX
Practice Address - Zip Code:76262-5302
Practice Address - Country:US
Practice Address - Phone:409-370-4493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty