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NPI Code Detail

MEDICARE: OPTUM ANESTHESIA PLLC

MEDICARE: OPTUM ANESTHESIA PLLC
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
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1598622573
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTUM ANESTHESIA PLLC
Provider Business Mailing Address
First Line : 700 HIGHLANDER BLVD STE 415
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-4346
Country : US
Telephone Number : 817-516-8811
Fax Number : 817-516-8444
Provider Business Practice Location Address
First Line : 700 HIGHLANDER BLVD STE 415
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-4346
Country : US
Telephone Number : 817-516-8811
Fax Number : 817-516-8444
Authorized Official
Title or Position : OWNER
Name : JULIE GREENE
Credential : DO
Telephone Number : 817-451-5221
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “OPTUM ANESTHESIA PLLC ” Practice Location

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