Organization
U S ANESTHESIA PARTNERS OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JOLLEY (DIRECTOR OF CREDENTAILING)
(713) 620-4000
Entity
Organization
Contact information
Practice address
100 MEDICAL DRIVE, LAKE JACKSON, TX 77566
(979) 316-2620
(713) 422-2169
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-1999
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
—
TX
363L00000X
Nurse Practitioner
—
TN
367500000X
Certified Registered Nurse Anesthetist
—
TX
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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