Organization
REGIONAL ANESTHESIA ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L KOOMOS JR. M.D. (PRESIDENT)
(361) 985-1221
Entity
Organization
Contact information
Practice address
4444 CORONA DR, SUITE 215, CORPUS CHRISTI, TX 78411-4324
(361) 985-1221
(361) 985-1295
Mailing address
4444 CORONA DR, SUITE 215, CORPUS CHRISTI, TX 78411-4324
(361) 985-1221
(361) 985-1295
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081632401
—
TX
Enumeration date
04/24/2006
Last updated
05/14/2010
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