Organization
EAST HOUSTON ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P. AQUILINA M.D. (AUTHORIZED REP.)
(713) 481-3534
Entity
Organization
Contact information
Practice address
13111 EAST FWY, HOUSTON, TX 77015-5820
(713) 481-3534
(713) 432-0221
Mailing address
PO BOX 421209, HOUSTON, TX 77242-1209
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI2165
RAILROAD MEDICARE
TX
Enumeration date
12/06/2005
Last updated
03/20/2009
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