# PHS TH ANESTHESIA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699109454
- **Authorized official:** DR. STEPHEN HOLTZCLAW M.D. (OWNER)
- **Authorized official phone:** (561) 623-2000

## Contact information

- **Practice address:** 1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
- **Practice address phone:** (202) 269-7000
- **Mailing address:** 7111 FAIRWAY DR, SUITE 450, PALM BEACH GARDENS, FL 33418-4204
- **Mailing address phone:** (561) 623-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 08/29/2013
- **Last updated:** 08/29/2013
