Provider Demographics
NPI:1659177434
Name:SPECIALTY ANESTHESIA PARTNERS, PLLC
Entity type:Organization
Organization Name:SPECIALTY ANESTHESIA PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BUSTO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-742-8161
Mailing Address - Street 1:7107 KINGLET CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4201
Mailing Address - Country:US
Mailing Address - Phone:305-742-8161
Mailing Address - Fax:
Practice Address - Street 1:7107 KINGLET CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-4201
Practice Address - Country:US
Practice Address - Phone:346-558-5881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDental AnesthesiologyGroup - Single Specialty