Organization
BAY AREA ANESTHESIA SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE FONTENOT (ADMINISTRATOR)
(281) 580-9030
Entity
Organization
Contact information
Practice address
502 MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(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
—
TX
367500000X
Certified Registered Nurse Anesthetist
—
TX
Other
Enumeration date
05/20/2006
Last updated
08/23/2007
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