Organization Active NPI

Siesta Texas Anesthesia PLLC

  • Anesthesiology Physician
  • McAllen, TX
National Provider Identifier
1437349727
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SIESTA TEXAS ANESTHESIA PLLC
Practice address
1305 E Nolana Ave
Suite H
McAllen, TX 78504-6114
Phone
(956) 682-4151
Fax
(956) 682-4154
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
David Clark
Title
Owner/Provider
Phone
(956) 682-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1305 E Nolana Ave
Suite H
McAllen, TX 78504-6114

Mailing address

PO Box 3744
McAllen, TX 78502-3744
Phone (956) 682-4151

Other identifiers 2

IdentifierTypeStateIssuer
00C76UOtherTXBCBS
198555801MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1437349727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3744",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023744",
            "telephone_number": "956-682-4151",
            "fax_number": "956-682-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E NOLANA AVE",
            "address_2": "SUITE H",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046114",
            "telephone_number": "956-682-4151",
            "fax_number": "956-682-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIESTA TEXAS ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "956-682-4151"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00C76U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198555801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.