Organization Active NPI

Cardinal Anesthesia Management Services, LLC

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1497091995
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CARDINAL ANESTHESIA MANAGEMENT SERVICES, LLC
Practice address
510 W Tidwell Rd
Houston, TX 77091-4339
Phone
(281) 618-4644
Fax
(903) 374-4711
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Terrence Brandon Johnson
Title
Ceo/President
Phone
(214) 254-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

510 W Tidwell Rd
Houston, TX 77091-4339

Mailing address

1200 E Collins Blvd
Suite 106
Richardson, TX 75081-2457
Phone (214) 254-4672

National Provider Directory

National Provider Directory

Locations

1200 E Collins Blvd
Ste 106
Richardson, TX 75081
Phone (214) 254-4672

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1497091995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COLLINS BLVD",
            "address_2": "SUITE 106",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812457",
            "telephone_number": "214-254-4672",
            "fax_number": "903-374-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914339",
            "telephone_number": "281-618-4644",
            "fax_number": "903-374-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL ANESTHESIA MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "214-254-4672"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.