Organization
NORTH CYPRESS ANESTHESIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN JACKSON RALSTON III M.D. (PRESIDENT)
(713) 620-4000
Entity
Organization
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193562901
—
TX
01
—
96QU
MD BLUE CROSS PROVIDER ID
TX
01
—
C94V
CRNA BLUE CROSS PROVIDER ID
TX
Enumeration date
09/24/2007
Last updated
09/18/2008
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