Organization
SAGUARO ANESTHESIA ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDSON J. SOMERVILLE M.D. (OWNER)
(956) 717-2962
Entity
Organization
Contact information
Practice address
4646 CORONA DRIVE SUITE #256, CORPUS CHRISTI, TX 78411
(361) 806-2001
(361) 852-0626
Mailing address
9114 MCPHERSON RD. STE. 2508, LAREDO, TX 78045-6511
(956) 717-2962
(956) 717-0069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094942201
—
TX
01
—
81X360
BCBS
TX
Enumeration date
06/22/2015
Last updated
06/22/2015
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