Organization
AA TEXAS ANESTHESIA BACK PAIN CENTER MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY K AGGARWAL (AUTHORIZED OFFICIAL)
(877) 433-4352
Entity
Organization
Contact information
Practice address
2646 S LOOP W STE 300, HOUSTON, TX 77054-2678
(713) 663-7246
(877) 433-4352
Mailing address
PO BOX 271622, HOUSTON, TX 77277-1622
(877) 433-4352
(877) 433-4352
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058PC
BC/BS
TX
05
—
131822204
—
TX
Enumeration date
10/17/2007
Last updated
12/04/2008
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