Organization
EAST TEXAS ANESTHESIOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ANDERSON MD (PRESIDENT)
(903) 533-8084
Entity
Organization
Contact information
Practice address
3200 TROUP HWY, SUITE #200, TYLER, TX 75701-8397
(903) 533-8084
(903) 593-4290
Mailing address
3200 TROUP HWY, SUITE #200, TYLER, TX 75701-8397
(903) 533-8084
(903) 593-4290
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L51G
BLUE CROSS
TX
05
—
112603901
—
TX
Enumeration date
08/17/2006
Last updated
07/28/2014
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