Healthcare Provider Details

I. General information

NPI: 1124201827
Provider Name (Legal Business Name): APEX ANESTHESIA CONSULTANTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 12/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 S HULEN ST SUITE 425
FORT WORTH TX
76109-4914
US

IV. Provider business mailing address

4200 S HULEN ST SUITE 425
FORT WORTH TX
76109-4914
US

V. Phone/Fax

Practice location:
  • Phone: 817-731-2875
  • Fax:
Mailing address:
  • Phone: 817-731-2875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD S ANDERSON
Title or Position: MGR
Credential: M.D.
Phone: 817-731-2875