Active NPI
U S Anesthesia Partners of Texas, PA
- Interventional Pain Medicine Physician
- Lake Jackson, TX
National Provider Identifier
1790233138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- U S ANESTHESIA PARTNERS OF TEXAS, PA
- Practice address
- 100 Medical Drive
Lake Jackson, TX 77566 - Phone
- (979) 316-2620
- Fax
- (713) 422-2169
- NPI assigned
- Sep 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Jolley
- Title
- Director of Credentailing
- Phone
- (713) 620-4000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | TX | ||
| Interventional Pain Medicine Physician | 208VP0014X | TX | Primary | |
| Nurse Practitioner | 363L00000X | TN | ||
| Certified Registered Nurse Anesthetist | 367500000X | TX |
Addresses
Primary practice location
100 Medical Drive
Lake Jackson, TX 77566
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-1999
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473811200000",
"number": "1790233138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-715-1999",
"fax_number": "972-715-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL DRIVE",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "77566",
"telephone_number": "979-316-2620",
"fax_number": "713-422-2169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U S ANESTHESIA PARTNERS OF TEXAS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-14",
"last_updated": "2016-09-14",
"status": "A",
"authorized_official_last_name": "JOLLEY",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTAILING",
"authorized_official_telephone_number": "713-620-4000"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.