Healthcare Provider Details

I. General information

NPI: 1881620557
Provider Name (Legal Business Name): VERITAS ANESTHESIA, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 09/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W COLORADO BLVD PAVILION II, SUITE # 845
DALLAS TX
75208-2363
US

IV. Provider business mailing address

PO BOX 974709
DALLAS TX
75397-0001
US

V. Phone/Fax

Practice location:
  • Phone: 214-946-1133
  • Fax:
Mailing address:
  • Phone: 214-946-1133
  • Fax: 214-522-0474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LARRY B SCOTT
Title or Position: DIRECTOR OFFICER
Credential: MD
Phone: 214-946-1133