Organization
GEORGETOWN ANESTHESIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY BURTON PENNINGTON M.D. (MANAGING MEMBER)
(512) 863-2117
Entity
Organization
Contact information
Practice address
2000 SCENIC DR, GEORGETOWN, TX 78626-7726
(512) 863-2117
(512) 869-0946
Mailing address
PO BOX 1242, GEORGETOWN, TX 78627-1242
(512) 863-2117
(512) 869-0946
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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