Organization
EAG HEALTHCARE LLC
Active
Other names
Ethos Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MONAHAN (VICE PRESIDENT)
(512) 551-0808
Entity
Organization
Contact information
Practice address
4330 GAINES RANCH LOOP, SUITE 220, AUSTIN, TX 78735-6733
(512) 551-0808
(512) 782-2215
Mailing address
4330 GAINES RANCH LOOP, SUITE 220, AUSTIN, TX 78735-6733
(512) 551-0808
(512) 782-2215
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/01/2011
Last updated
02/01/2012
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