Organization
PORT LAVACA ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON JOHNSON (MANAGER)
(214) 254-4672
Entity
Organization
Contact information
Practice address
815 N VIRGINIA ST, PORT LAVACA, TX 77979-3025
(361) 552-6713
(903) 552-0362
Mailing address
PO BOX 742976, DALLAS, TX 75374-2976
(214) 254-4672
(903) 374-4711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us