Healthcare Provider Details

I. General information

NPI: 1699712596
Provider Name (Legal Business Name): ANESTHESIOLOGY CONSULTANTS OF NORTH TEXAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 HIGHLANDER BLVD STE 415
ARLINGTON TX
76015-4346
US

IV. Provider business mailing address

700 HIGHLANDER BLVD STE 415
ARLINGTON TX
76015-4346
US

V. Phone/Fax

Practice location:
  • Phone: 817-516-8811
  • Fax: 817-516-8444
Mailing address:
  • Phone: 817-516-8811
  • Fax: 178-516-8444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JULIE B. GREENE
Title or Position: OWNER- ANESTHESIOLOGY CONSULTANTS
Credential: D.O.
Phone: 817-470-4128