Healthcare Provider Details
I. General information
NPI: 1013126788
Provider Name (Legal Business Name): CHILDRENS ANESTHESIA RESOURCES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2007
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1935 MOTOR ST
DALLAS TX
75235-7701
US
IV. Provider business mailing address
10830 N CENTRAL EXPY SUITE 120
DALLAS TX
75231-1050
US
V. Phone/Fax
- Phone: 214-398-9898
- Fax:
- Phone: 214-378-9898
- Fax: 214-378-9888
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | G0925 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
GARY
ROBERT
TURNER
Title or Position: ANESTHESIOLOGY
Credential: M.D.
Phone: 214-378-9898