Office Anesthesiology Consultants of Texas LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

N6109 Issued in TX

Legal business name

OFFICE ANESTHESIOLOGY CONSULTANTS OF TEXAS LLC

Practice address

6560 Fannin St Ste 1900
Houston, TX 77030-2785

Phone

(281) 345-2743

NPI assigned

Apr 11, 2018

Organization subpart

No

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

Authorized official

Name

Jeanne Navarro

Title

Practice Manager

Phone

(281) 701-0099

Specialties & licenses 1

Addresses

Other names 1

• TEXAS OFFICE ANESTHESIOLOGY Doing business as

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1326545765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 HIGHWAY 6 N # 342",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302785",
            "telephone_number": "281-345-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE ANESTHESIOLOGY CONSULTANTS OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "281-701-0099"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N6109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS OFFICE ANESTHESIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Betty Kalianda Oetama, M.D.
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• Anesthesiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.