Healthcare Provider Details

I. General information

NPI: 1700813763
Provider Name (Legal Business Name): LH ANESTHESIA ASSOCIATES P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5424 WILLOW WOOD LN
DALLAS TX
75252-2655
US

IV. Provider business mailing address

PO BOX 794906
DALLAS TX
75379-4906
US

V. Phone/Fax

Practice location:
  • Phone: 972-668-7460
  • Fax: 972-668-7467
Mailing address:
  • Phone: 972-668-7460
  • Fax: 972-668-7467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: LISA M HOLLEY
Title or Position: OWNER
Credential: M.D.
Phone: 972-668-7460