Fredericksburg Anesthesia Consultants Pllc

LBN: Fredericksburg Anesthesia Consultants Pllc
Fredericksburg Anesthesia Consultants Pllc is an health care organization with primary practice located at 1020 S State Highway 16 , Fredericksburg TX 78624-4471. The organization recently has 7 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Fredericksburg Anesthesia Consultants Pllc can be contacted via phone (830) 997-4353, or through Hicks, Michael Ray via phone (954) 838-2371.

Contact Information

Primary practice address
1020 S State Highway 16 Fredericksburg TX 78624-4471
Phone: (830) 997-4353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Michael Ray Doctor of Medicine (MD)
Phone: (954) 838-2371

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1043523384
LBN Legal business name Fredericksburg Anesthesia Consultants Pllc
DBA Doing business as
Authorized official Hicks, Michael Ray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2010
Last updated Sep 13th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043523384 NPPES
Texas MEDICAID 219219701

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