Progressive Anesthesia Services, PLLC

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

Legal business name

PROGRESSIVE ANESTHESIA SERVICES, PLLC

Practice address

1113 West Baker Road Suite G
Baytown, TX 77521-2391

Phone

(281) 993-3733

NPI assigned

Dec 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohsin Qayyum

Title

Manager

Phone

(281) 993-3733

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1114315306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890228",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772890228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 WEST BAKER ROAD SUITE G",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212391",
            "telephone_number": "281-993-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ANESTHESIA SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "QAYYUM",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-993-3733"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providian Total Health LLC

• Anesthesiologist Assistant in Baytown, TX
• Providers in Baytown, TX by specialty
• Anesthesiologist Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.