Provider Demographics
NPI:1477078202
Name:ANESTHESIA ASSOCIATES GROUP PLLC
Entity type:Organization
Organization Name:ANESTHESIA ASSOCIATES GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHANGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-838-5214
Mailing Address - Street 1:PO BOX 5876
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-5876
Mailing Address - Country:US
Mailing Address - Phone:409-838-5214
Mailing Address - Fax:409-835-1946
Practice Address - Street 1:755 N 11TH ST STE P3600
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1515
Practice Address - Country:US
Practice Address - Phone:409-838-5214
Practice Address - Fax:409-838-1946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2018-01-12
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