| Mr Stephen P Whitesides, AA-C | |
|
300 University Blvd, Round Rock, TX 78665-1032 | |
| (512) 509-0100 | |
| Not Available |
| Full Name | Mr Stephen P Whitesides |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 300 University Blvd, Round Rock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669851747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 3056 (Texas) | Primary |
| Entity Name | Western Anesthesiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275646754 PECOS PAC ID: 6204720667 Enrollment ID: O20040226000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen P Whitesides, AA-C Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Mr Stephen P Whitesides, AA-C 300 University Blvd, Round Rock, TX 78665-1032 Ph: (512) 509-0100 |
Marcel Albert Graf, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Aneesa Patel, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Daniel Chen, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Timothy James Goodridge, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-218-6330 | |
Haley Conn, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Chloe Affton Tarbox, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 817-888-4802 | |
Mr. Paul C Mchorse, A.A.-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 |