# GOODWILL ANESTHESIA SERVICES, P.A.

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

## Provider details

- **NPI number:** 1790808707
- **Authorized official:** DR. PRAMODH KUMAR WADERA M.D. (PRESIDENT)
- **Authorized official phone:** (281) 265-0774

## Contact information

- **Practice address:** 303 SANDY CORNER RD, EL CAMPO, TX 77437-9535
- **Practice address phone:** (281) 265-0774
- **Practice address fax:** (281) 265-0774
- **Mailing address:** PO BOX 16404, SUGAR LAND, TX 77496-6404
- **Mailing address phone:** (281) 265-0774
- **Mailing address fax:** (281) 265-0774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G1575 | TX | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/30/2010