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Organization
PROGRESSIVE ANESTHESIA SERVICES, PLLC
Active
Organization
PROGRESSIVE ANESTHESIA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSIN QAYYUM (MANAGER)
(281) 993-3733
Entity
Organization
Contact information
Practice address
1113 WEST BAKER ROAD SUITE G, BAYTOWN, TX 77521-2391
(281) 993-3733
Mailing address
PO BOX 890228, HOUSTON, TX 77289-0228
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
367H00000X
Anesthesiologist Assistant
Primary
—
NULL
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
01/30/2015
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