Healthcare Provider Details
I. General information
NPI: 1447856430
Provider Name (Legal Business Name): NATIONAL ANESTHESIA PROVIDER SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2020
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3209 OAK ARBOR DR
PLANO TX
75093-5979
US
IV. Provider business mailing address
3308 PRESTON RD STE 350-259
PLANO TX
75093-7453
US
V. Phone/Fax
- Phone: 214-471-5975
- Fax:
- Phone: 214-471-5975
- Fax: 866-476-1204
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICKI
WRIGHT
Title or Position: BILLING MANAGER
Credential:
Phone: 214-471-5975