Healthcare Provider Details

I. General information

NPI: 1609388982
Provider Name (Legal Business Name): APPLE ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5729 LEBANON RD STE 144-333
FRISCO TX
75034-7260
US

IV. Provider business mailing address

5729 LEBANON RD STE 144-333
FRISCO TX
75034-7260
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-2457
  • Fax: 214-764-0880
Mailing address:
  • Phone: 214-227-2457
  • Fax: 214-764-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALICIA WATSON
Title or Position: ADMIN
Credential:
Phone: 214-227-2457