| Thaddeus Lis, | |
|
18300 Saint John Dr, Nassau Bay, TX 77058-6302 | |
| (281) 333-5503 | |
| Not Available |
| Full Name | Thaddeus Lis |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 18300 Saint John Dr, Nassau Bay, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669459384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | K0896 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Methodist St John Hospital | Nassau bay, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2470 |
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Entity Name | Space City Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235328253 PECOS PAC ID: 8628154416 Enrollment ID: O20080319000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Thaddeus Lis, 714 Fm 1960 Rd W, Suite 206, Houston, TX 77090-3405 Ph: () - | Thaddeus Lis, 18300 Saint John Dr, Nassau Bay, TX 77058-6302 Ph: (281) 333-5503 |
L A Goodman, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 18300 Saint John Dr, Nassau Bay, TX 77058 Phone: 281-333-5503 | |
William P Jones, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 18300 Saint John Dr, Nassau Bay, TX 77058 Phone: 281-333-5503 | |
Rakesh Bhardwaj, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 18300 Saint John Dr, Nassau Bay, TX 77058 Phone: 281-333-5503 | |
Bach Lam, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18300 Saint John Dr, Nassau Bay, TX 77058 Phone: 281-333-5503 |