Healthcare Provider Details

I. General information

NPI: 1285230003
Provider Name (Legal Business Name): YZ ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 12/07/2020
Certification Date: 11/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 HOSPITAL DR STE B
ABILENE TX
79606-5289
US

IV. Provider business mailing address

PO BOX 6898
ABILENE TX
79608-6898
US

V. Phone/Fax

Practice location:
  • Phone: 325-795-0053
  • Fax: 325-795-2113
Mailing address:
  • Phone: 325-795-2100
  • Fax: 325-795-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ZARNA M MEHTA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 325-370-1031