Evergreen Anesthesia Services PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

EVERGREEN ANESTHESIA SERVICES PLLC

Practice address

25312 Interstate 45 N
Spring, TX 77386-1449

Phone

(346) 331-2555

Fax

(346) 331-2546

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Elda Navarro

Title

Credentailing Specialist

Phone

(346) 331-2554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1275377277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25312 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861449",
            "telephone_number": "346-331-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25312 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861449",
            "telephone_number": "346-331-2555",
            "fax_number": "346-331-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "ELDA",
        "authorized_official_title_or_position": "CREDENTAILING SPECIALIST",
        "authorized_official_telephone_number": "346-331-2554"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.