Intiva Anesthesia

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

INTIVA ANESTHESIA

Practice address

3726 Dacoma St Ste 210
Houston, TX 77092-8906

Phone

(346) 800-5469

NPI assigned

Feb 3, 2020

Last updated

Mar 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Business Office

Title

Staff

Phone

(346) 800-5469

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1740811256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 DACOMA ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 DACOMA ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928906",
            "telephone_number": "346-800-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIVA ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "OFFICE",
        "authorized_official_first_name": "BUSINESS",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "346-800-5469"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Mar 19, 2022; 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.