Provider Demographics
NPI:1649512096
Name:SPRING CREEK ANESTHESIA, PLLC
Entity type:Organization
Organization Name:SPRING CREEK ANESTHESIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAKA
Authorized Official - Middle Name:CHAUHAN
Authorized Official - Last Name:GOHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-351-3830
Mailing Address - Street 1:506 GRAHAM DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3346
Mailing Address - Country:US
Mailing Address - Phone:281-351-3830
Mailing Address - Fax:281-351-6275
Practice Address - Street 1:506 GRAHAM DR
Practice Address - Street 2:SUITE 240
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3346
Practice Address - Country:US
Practice Address - Phone:281-351-3830
Practice Address - Fax:281-351-6275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist AssistantGroup - Single Specialty