Organization
SAGUARO ANESTHESIA ASSOCIATES PA
Active
Other names
The Pain Management Clinic of Laredo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDSON JEFFREY SOMERVILLE M. D. (MEDICAL DOCTOR)
(956) 717-2962
Entity
Organization
Contact information
Practice address
9114 MCPHERSON RD STE 2508, LAREDO, TX 78045-6511
(956) 717-2962
(956) 717-0069
Mailing address
9114 MCPHERSON RD STE 2508, LAREDO, TX 78045-6511
(956) 717-2962
(956) 717-0069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H6622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R65H
BLUE CROSS BLUE SHIELD
TX
05
—
0949422-01
—
TX
Enumeration date
01/29/2007
Last updated
02/25/2015
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