Provider Demographics
NPI:1366873903
Name:DOCTORS ANESTHESIA TIDWELL PLLC
Entity type:Organization
Organization Name:DOCTORS ANESTHESIA TIDWELL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZATUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:AMIN-SANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-249-5954
Mailing Address - Street 1:9103 ROCKCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77037-2231
Mailing Address - Country:US
Mailing Address - Phone:281-249-5954
Mailing Address - Fax:281-605-5792
Practice Address - Street 1:5010 WEST TIDWELL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091
Practice Address - Country:US
Practice Address - Phone:281-618-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty