Anesthesia Providers Of East Texas, Pa

LBN: Anesthesia Providers Of East Texas, Pa
Anesthesia Providers Of East Texas, Pa is an health care organization with primary practice located at 300 Willow Creek Pkwy Suite 130, Palestine TX 75801-4421. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Anesthesia Providers Of East Texas, Pa can be contacted via phone (903) 723-2465, or through Cooper, Richard Scott via phone (903) 675-1186.

Contact Information

Primary practice address
300 Willow Creek Pkwy Suite 130 Palestine TX 75801-4421
Phone: (903) 723-2465
Fax: (903) 677-1694
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Richard Scott Doctor of Medicine (MD)
Phone: (903) 675-1186

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1063400075
LBN Legal business name Anesthesia Providers Of East Texas, Pa
DBA Doing business as
Authorized official Cooper, Richard Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 17th, 2014 - about 11 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 1063400075 NPPES
Texas MEDICAID 0069072-01

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