Alliance Anesthesia Services
Organization Active NPI Certified Registered Nurse Anesthetist · Webster, TX
NPI 1003580994 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1003580994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- ALLIANCE ANESTHESIA SERVICES
- Practice address
- 220 E Medical Center Blvd
Webster, TX 77598-4319 - Phone
- (832) 858-6531
- NPI assigned
- Aug 4, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Mohamad Azzam, MD
- Title
- Managing Partner
- Phone
- (832) 858-6531
Practitioners 3
-
Richard Terrell Haydock, CRNA
-
Brandy J Taylor, CRNA
-
Heather Rae Martin, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221229002733 | TX | Part B Supplier - Clinic/Group Practice | 0547630972 |
Receives reassigned benefits from 3 practitioners Practice locations: Webster, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
220 E Medical Center Blvd
Webster, TX 77598-4319
Mailing address
220 E Medical Center Blvd
Webster, TX 77598-4319
Phone (832) 858-6531
Other providers in Webster, TX
- Ahmed Alkholeidi
- Allegiance Hospice LLC
- Don L. Allen Jr.
- Joseph C Allen Jr.
- Allergy & ENT Associates, PLLC
- Alliance MRI Clearlake
- Allison Dillon DDS, PLLC
- Allison Rathmann
- Abdelkader Almanfi
- Majd Alnas
All providers in Webster, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.