Provider Demographics
NPI:1871924621
Name:PROFESSIONAL ANESTHESIOLOGISTS OF TEXAS, P.A.
Entity type:Organization
Organization Name:PROFESSIONAL ANESTHESIOLOGISTS OF TEXAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NASIR
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:TANAULI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-659-3284
Mailing Address - Street 1:4747 BELLAIRE BLVD
Mailing Address - Street 2:STE# 580
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4527
Mailing Address - Country:US
Mailing Address - Phone:713-659-3284
Mailing Address - Fax:713-664-2534
Practice Address - Street 1:4747 BELLAIRE BLVD
Practice Address - Street 2:STE# 580
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4527
Practice Address - Country:US
Practice Address - Phone:713-659-3284
Practice Address - Fax:713-664-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty