Organization
IN LINE ANESTHESIA SERVICES LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN ISAACS CRNA (PRESIDENT)
(713) 291-4188
Entity
Organization
Contact information
Practice address
3618 STANFORD ST, HOUSTON, TX 77006-4644
(713) 291-4188
Mailing address
PO BOX 70289, HOUSTON, TX 77270
(173) 291-4188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
047047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047047
AANA
TX
Enumeration date
07/31/2014
Last updated
07/31/2014
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