Provider Demographics
NPI:1457620940
Name:GUARDIAN ANESTHESIA SERVICES PLLC
Entity Type:Organization
Organization Name:GUARDIAN ANESTHESIA SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KOONS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:281-218-9515
Mailing Address - Street 1:1002 GEMINI ST
Mailing Address - Street 2:SUITE 128
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2746
Mailing Address - Country:US
Mailing Address - Phone:281-218-9515
Mailing Address - Fax:281-218-9534
Practice Address - Street 1:1002 GEMINI ST
Practice Address - Street 2:SUITE 128
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2746
Practice Address - Country:US
Practice Address - Phone:281-218-9515
Practice Address - Fax:281-218-9534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty