Organization
INTIVA ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUSINESS OFFICE (STAFF)
(346) 800-5469
Entity
Organization
Contact information
Practice address
3726 DACOMA ST STE 210, HOUSTON, TX 77092-8906
(346) 800-5469
Mailing address
3726 DACOMA ST STE 210, HOUSTON, TX 77092-8906
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
03/19/2022
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