MEDICARE: RED RIVER ANESTHESIOLOGY GROUP L.L.P.

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1134251309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED RIVER ANESTHESIOLOGY GROUP L.L.P.

Provider Business Mailing Address
First Line	:	1105 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-5008
Country	:	US
Telephone Number	:	940-723-1441
Fax Number	:	940-766-3659

Provider Business Practice Location Address
First Line	:	1105 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-5008
Country	:	US
Telephone Number	:	940-723-1441
Fax Number	:	940-766-3659

Authorized Official
Title or Position	:	PARTNER
Name	:	JAMES POSTON
Credential	:	M.D.
Telephone Number	:	940-723-1441

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	10/06/2009

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