Organization
THE SOUTH COUNTY ANESTHESIA ASSOCIATION, PA
Active
Other names
The Woodlands Anesthesia Association
Organization subpart
No
Provider details
NPI number
Authorized official
SAM FULTON (BILLING MANAGER)
(979) 776-7300
Entity
Organization
Contact information
Practice address
3115 COLLEGE PARK DR, UNIT 103C, THE WOODLANDS, TX 77384-4000
(281) 580-9030
(281) 580-2725
Mailing address
PO BOX 200649, HOUSTON, TX 77216-0649
(281) 580-9030
(281) 580-2725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5017
TX
Other
Enumeration date
08/14/2006
Last updated
07/28/2008
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