Organization
HB ANESTHESIOLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
505 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
(936) 639-3036
Mailing address
PO BOX 155808, LUFKIN, TX 75915-5808
(936) 639-3036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026HD
BCBS
TX
05
—
148699501
—
TX
Enumeration date
06/04/2006
Last updated
09/13/2019
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