Organization
MID TEX ANESTHESIA ASSOCIATES, PA
Active
Organization
MID TEX ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAY LYNN KENT (ADMINISTRATOR)
(254) 776-0266
Entity
Organization
Contact information
Practice address
405 LONDONDERRY DR, SUITE 105, WACO, TX 76712-7920
(254) 776-0266
(254) 776-2511
Mailing address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
(254) 776-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00EZ73
BLUE CROSS BLUE SHIELD
TX
05
—
098220902
—
TX
Enumeration date
10/12/2006
Last updated
05/19/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up