GOODWILL ANESTHESIA SERVICES, P.A.
Osteopathic Medicine at Sandy Corner Rd, Jones Creek, TX

License number
Texas G1575
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. PRAMODH KUMAR WADERA M.D.
Title: PRESIDENT
Phone: (281) 265-0774
Address
Address 2
303 Sandy Corner Rd, Jones Creek, TX 77437
PO Box 16404, Sugar Land, TX 77496
National Provider ID: 1790808707
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GOODWILL ANESTHESIA SERVICES, PA

3134 Mesquite Dr, Sugar Land, TX 77479

Industry:
Services-Misc
Registration:
Jun 21, 1996
State ID:
0081722003
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Pramodh K. Wadera (President , Treasurer , Secretary , Director , Member , Vice-President)
Agent:
Pramodh K Wadera,3134 Mesquite Dr, Sugar Land, TX 77479 (Physical)
TIN:
32036013293

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