Healthcare Provider Details

I. General information

NPI: 1881017531
Provider Name (Legal Business Name): ANESTHESIA CONSULTANTS OF DALLAS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 N BECKLEY AVE
DALLAS TX
75203-1201
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 214-947-8181
  • Fax:
Mailing address:
  • Phone: 214-946-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number743706
License Number StateTX

VIII. Authorized Official

Name: LARRY B SCOTT
Title or Position: M.D.
Credential: M.D.
Phone: 214-946-1133