Provider Demographics
NPI:1831595990
Name:TRICITY ANESTHESIA ASSOCIATES PLLC
Entity type:Organization
Organization Name:TRICITY ANESTHESIA ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:URFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-268-0129
Mailing Address - Street 1:PO BOX 2749
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78299-2749
Mailing Address - Country:US
Mailing Address - Phone:210-268-0129
Mailing Address - Fax:210-497-3593
Practice Address - Street 1:110 STONE OAK LOOP
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3510
Practice Address - Country:US
Practice Address - Phone:210-268-0129
Practice Address - Fax:210-497-3593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty