Organization
PARK PLAZA ANESTHESIOLGISTS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R JISTEL M.D. (PRESIDENT)
(281) 444-3681
Entity
Organization
Contact information
Practice address
1313 HERMANN DR, SUITE 270, HOUSTON, TX 77004-7005
(281) 580-9030
(281) 580-2725
Mailing address
PO BOX 73265, HOUSTON, TX 77273-3265
(281) 580-9030
(281) 580-2725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120735902
—
TX
Enumeration date
05/15/2006
Last updated
07/08/2008
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