Provider Demographics
NPI:1801168786
Name:TEXAN ANESTHESIOLOGY ASSOCIATION, PA
Entity type:Organization
Organization Name:TEXAN ANESTHESIOLOGY ASSOCIATION, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-565-2886
Mailing Address - Street 1:2133 SEA EAGLE VW
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5382
Mailing Address - Country:US
Mailing Address - Phone:512-596-1775
Mailing Address - Fax:512-681-2066
Practice Address - Street 1:2133 SEA EAGLE VW
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-5382
Practice Address - Country:US
Practice Address - Phone:512-596-1775
Practice Address - Fax:512-681-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0699207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX30524502Medicaid
TX305242501Medicaid
TXH15154Medicare UPIN