Professional Anesthesia Associates

Organization Active NPI Certified Registered Nurse Anesthetist · Alpine, TX

NPI 1821154501 · NPPES record last updated Sep 28, 2009

Key facts

NPI
1821154501
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
553621 (TX)
Legal business name
PROFESSIONAL ANESTHESIA ASSOCIATES
Practice address
2600 N Highway 118
Alpine, TX 79830-2002
Phone
(432) 837-7160
Fax
(432) 837-5450
NPI assigned
Dec 28, 2006
Organization subpart
No

Authorized official

Name
Bill Friddell
Title
General Partner
Phone
(432) 837-7160

Practitioners 2

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

National Provider Directory

Locations

801 E Brown St
Alpine, TX 79830
Phone (915) 834-9015

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X 553621 TX Yes

Addresses

Primary practice location

2600 N Highway 118
Alpine, TX 79830-2002

Mailing address

PO Box 2052
Alpine, TX 79831-2052
Phone (432) 837-7160

Other identifiers

IdentifierTypeStateIssuer
00C10POtherTXGROUP BCBS OF TEXAS ID
006864501MedicaidTX

Other providers in Alpine, TX

All providers in Alpine, TX · Certified Registered Nurse Anesthetist in Texas

Sources for this page

Verify at the official NPI Registry.