Organization
DYNAMIC ANESTHESIA PROVIDERS PLLC
Active
Other names
Houston Healthcare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KRAIG KILLOUGH (MANAGER)
(832) 404-2018
Entity
Organization
Contact information
Practice address
4615 SOUTHWEST FWY STE 120, HOUSTON, TX 77027-7241
(281) 475-4428
Mailing address
PO BOX 3856, DEPT 508, HOUSTON, TX 77253-3856
(832) 404-2018
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/30/2017
Last updated
02/28/2024
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