Provider Demographics
NPI:1952911661
Name:ANESTHESIA PROVIDERS OF HOUSTON PLLC
Entity type:Organization
Organization Name:ANESTHESIA PROVIDERS OF HOUSTON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:T
Authorized Official - Last Name:NEMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-563-6449
Mailing Address - Street 1:1446 CAMPBELL RD STE 290
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4604
Mailing Address - Country:US
Mailing Address - Phone:281-502-1904
Mailing Address - Fax:
Practice Address - Street 1:1446 CAMPBELL RD STE 290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4604
Practice Address - Country:US
Practice Address - Phone:281-502-1904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty