Provider Demographics
NPI:1033723820
Name:ANESTHESIA STATE OF THE ART PLLC
Entity type:Organization
Organization Name:ANESTHESIA STATE OF THE ART PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GROVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-732-9694
Mailing Address - Street 1:7500 BEECHNUT ST STE 280
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-4311
Mailing Address - Country:US
Mailing Address - Phone:713-981-6611
Mailing Address - Fax:713-981-6622
Practice Address - Street 1:7500 BEECHNUT ST STE 280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4311
Practice Address - Country:US
Practice Address - Phone:713-981-6611
Practice Address - Fax:713-981-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty