Active NPI
Southeast Texas Anesthesia LLP
- Anesthesiology Physician
- Beaumont, TX
National Provider Identifier
1003195876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SOUTHEAST TEXAS ANESTHESIA LLP
- Practice address
- 3420 Fannin St
Suite 190
Beaumont, TX 77701-3809 - Phone
- (409) 838-0411
- Fax
- (409) 838-9032
- NPI assigned
- Aug 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Lynn Sanders
- Title
- Practice Manager
- Phone
- (409) 838-0411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3420 Fannin St
Suite 190
Beaumont, TX 77701-3809
Mailing address
3420 Fannin St
Suite 190
Beaumont, TX 77701-3809
Phone (409) 838-0411
National Provider Directory
National Provider DirectoryLocations
3160 Fannin St
Ste 120B
Beaumont, TX 77701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1003195876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 FANNIN ST",
"address_2": "SUITE 190",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013809",
"telephone_number": "409-838-0411",
"fax_number": "409-838-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 FANNIN ST",
"address_2": "SUITE 190",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013809",
"telephone_number": "409-838-0411",
"fax_number": "409-838-9032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST TEXAS ANESTHESIA LLP",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "409-838-0411",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Soumava Sen,DDS, P.C.
- Sound Inpatient Physicians of Texas I, Inc
- South East Texas Cancer Center
- South Texas American Home Medical Supply
- Southeast Emergency Physician Associates, P.a.
- Southeast Texas Assisting, Inc.
- Southeast Texas Bariatric Center, LLC
- Southeast Texas Cardiology Associates II LLP
- Southeast Texas Child Guidance Center, PLLC
- Southeast Texas Community Health Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.