Organization
BRAZORIA COUNTY ANESTHESIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA RANDHAWA (OFFICE MANAGER)
(979) 848-3068
Entity
Organization
Contact information
Practice address
146 E HOSPITAL DR, SUITE 205, ANGLETON, TX 77515-4169
(979) 848-3068
(979) 849-1423
Mailing address
146 E HOSPITAL DR, SUITE 205, ANGLETON, TX 77515-4169
(979) 848-3068
(979) 849-1423
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057BM
BLUE SHIELD OF TEXAS
TX
05
—
090157102
—
TX
01
—
CN9786
RAILROAD MEDICARE
TX
Enumeration date
06/20/2006
Last updated
07/16/2009
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