Provider Demographics
NPI:1700875069
Name:KATY WEST HOUSTON ANESTHESIA PA
Entity Type:Organization
Organization Name:KATY WEST HOUSTON ANESTHESIA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBARZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-348-0426
Mailing Address - Street 1:PO BOX 154133
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75915-4133
Mailing Address - Country:US
Mailing Address - Phone:936-639-3036
Mailing Address - Fax:936-639-3064
Practice Address - Street 1:12811 BEAMER RD
Practice Address - Street 2:STE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6140
Practice Address - Country:US
Practice Address - Phone:281-380-2620
Practice Address - Fax:832-645-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7724207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00C46POtherBLUE CROSS BLUE SHIELD
TX109330402Medicaid
TX00031ROtherBCBS
TX109330401Medicaid
TXCH5424OtherRAILROAD MEDICARE
TX109330401Medicaid
TX00031RMedicare PIN
TX00031ROtherBCBS
TX00Y100Medicare PIN