| Organization Name: | BRAZORIA COUNTY ANESTHESIA P.A. |
| NPI Number: | 1144241977 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RITA RANDHAWA (OFFICE MANAGER) |
| Mailing Address: | 146 E Hospital Dr Suite 205 Angleton |
| State: | TX US |
| Postal Code: | 775154169 |
| Phone Number: | 9798483068 |
| Fax Number: | 9798491423 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 07/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |