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NPI Code Detail

MEDICARE: SOUTHWEST FORT WORTH ANESTHESIOLOGY CONSULTANTS, PA

MEDICARE: SOUTHWEST FORT WORTH ANESTHESIOLOGY CONSULTANTS, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician
2367500000XCertified Registered Nurse Anesthetist

General Provider Information

NPI Number : 1083605828
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST FORT WORTH ANESTHESIOLOGY CONSULTANTS, PA
Provider Business Mailing Address
First Line : 4916 OVERTON PLZ
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4415
Country : US
Telephone Number : 817-529-1142
Fax Number : 817-334-0235
Provider Business Practice Location Address
First Line : 4916 OVERTON PLZ
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4415
Country : US
Telephone Number : 817-529-1142
Fax Number : 817-334-0235
Authorized Official
Title or Position : PRESIDENT
Name : C GORDON MCADAMS
Credential : MD
Telephone Number : 817-529-1142
Provider Enumeration Date : 11/01/2005
Last Update Date : 09/11/2025

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Directions to “SOUTHWEST FORT WORTH ANESTHESIOLOGY CONSULTANTS, PA ” Practice Location

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