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Organization

U S ANESTHESIA PARTNERS OF TEXAS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY JOLLEY (ENROLLMENT TEAM LEAD)
(713) 620-4000
Entity
Organization

Contact information

Practice address
24018 HIGHWAY 59 N, KINGWOOD, TX 77339
(281) 446-4878
(281) 446-4664
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(713) 620-4000
(713) 458-4229

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
TX
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
TX
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
TX
367500000X
Certified Registered Nurse Anesthetist
TX

Other

Enumeration date
09/12/2016
Last updated
05/30/2018
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