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Organization
ST. ANTHONYS ANESTHESIA PA
Active
Organization
ST. ANTHONYS ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC H. BOIN M.D. (AUTHORIZED OFFICIAL)
(281) 348-0426
Entity
Organization
Contact information
Practice address
2807 LITTLE YORK RD, HOUSTON, TX 77093-3405
(713) 697-7777
Mailing address
1075 KINGWOOD DR, SUITE 150, KINGWOOD, TX 77339-3010
(281) 358-8114
(281) 358-0609
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045TG
BCBS DOCTORS GROUP
TX
01
—
00C65X
BCBS CRNAS GROUP
TX
Enumeration date
03/10/2010
Last updated
08/27/2010
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