Anesthesia & Intensive Care Of

LBN: Anesthesia And Intensive Care
Anesthesia & Intensive Care Of is an health care organization with primary practice located at 1000 Pine Street , Texarkana TX 75501-5100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Anesthesia And Intensive Care can be contacted via phone (903) 701-0156, or through Colley, Johnny M via phone (903) 701-0156.

Contact Information

Primary practice address
1000 Pine Street Texarkana TX 75501-5100
Fax: (903) 793-7996
Website:
Authorized official contact:
Name: Colley, Johnny M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1366589590
LBN Legal business name Anesthesia And Intensive Care
DBA Doing business as Anesthesia & Intensive Care Of
Authorized official Colley, Johnny M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Oct 25th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366589590 NPPES
Texas MEDICAID 090112602
Texas MEDICAID 111373002

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