Organization Active NPI

Tab Anesthesia PA

  • Certified Registered Nurse Anesthetist
  • Uvalde, TX
National Provider Identifier
1922470194
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
TAB ANESTHESIA PA
Practice address
20 Lou Stroup Dr
Uvalde, TX 78801-6901
Phone
(830) 591-8659
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Brady Williams, CRNA
Title
Partner
Phone
(830) 591-8659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

20 Lou Stroup Dr
Uvalde, TX 78801-6901

Mailing address

20 Lou Stroup Dr
Uvalde, TX 78801-6901

National Provider Directory

National Provider Directory

Locations

20 Lou Stroup Dr
Uvalde, TX 78801
Phone (830) 591-8659

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": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1922470194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LOU STROUP DR",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LOU STROUP DR",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016901",
            "telephone_number": "830-591-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAB ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "830-591-8659",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.