Organization Active NPI

Boutique Anesthesia, LLC

  • Anesthesiology Physician
  • Edinburg, TX
National Provider Identifier
1699710780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
TEMPORARY Issued in TX
Legal business name
BOUTIQUE ANESTHESIA, LLC
Practice address
4702 S McColl Rd
Edinburg, TX 78539-8201
Phone
(956) 994-9770
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ann Cheri Foxx, M.D.NPI 1639110455
Title
Managing Member
Phone
(410) 507-8539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4702 S McColl Rd
Edinburg, TX 78539-8201

Mailing address

4121 N 10TH St
Unit 307
McAllen, TX 78504-3004
Phone (410) 507-8539

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699710780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 N 10TH ST",
            "address_2": "UNIT 307",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043004",
            "telephone_number": "410-507-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398201",
            "telephone_number": "956-994-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTIQUE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOXX",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CHERI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-507-8539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "TEMPORARY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.