Organization
ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J. SCHANGE M.D. (PRESIDENT)
(409) 838-5214
Entity
Organization
Contact information
Practice address
755 N 11TH ST, SUITE P3600, BEAUMONT, TX 77702-1501
(409) 838-5214
Mailing address
PO BOX 5587, BEAUMONT, TX 77726-5587
(409) 838-5214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J355
BCBS
TX
05
—
112491901
—
TX
Enumeration date
09/20/2005
Last updated
10/27/2016
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