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Organization

CENTRAL TEXAS ANESTHESIOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW STEVEN ITKIN M.D. (OWNER)
(713) 458-4509
Entity
Organization

Contact information

Practice address
100 MEDICAL PKWY, LAKEWAY, TX 78738-5621
(713) 458-4509
Mailing address
PO BOX 18396, SUGAR LAND, TX 77496-8396
(713) 488-4509

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
06/29/2012
Last updated
06/29/2012
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