Organization
NACAGDOCLES ANESTHESIA GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G HAIDINYAK MD (OWNER)
(936) 564-9164
Entity
Organization
Contact information
Practice address
1329 N UNIVERSITY, SUITE E 1, NACOGDOCLES, TX 75961
(936) 564-9164
(936) 560-2538
Mailing address
1329 N UNIVERSITY, SUITE E 1, NACOGDOCLES, TX 75961
(936) 564-9164
(936) 560-2538
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MDF5222
TX
367500000X
Certified Registered Nurse Anesthetist
227393
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
244941
TX
367500000X
Certified Registered Nurse Anesthetist
250536
TX
367500000X
Certified Registered Nurse Anesthetist
27202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227393
COMMERCIAL
—
01
—
244941
COMMERCIAL
—
01
—
250536
COMMERCIAL
—
01
—
427202
COM
—
01
—
83919U
BLUE CROSS
—
01
—
88430X
BLUE CROSS
—
01
—
89968C
BLUE CROSS
—
01
—
89969C
BLUE CROSS
—
01
—
89970C
BLUE CROSS
—
01
—
F5222
COMMERCIAL
—
Enumeration date
11/27/2006
Last updated
09/11/2025
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