Organization Active NPI

Southeast Texas Anesthesia LLP

  • Anesthesiology Physician
  • Beaumont, TX
National Provider Identifier
1003195876
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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

Updated by the provider on Aug 11, 2011

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.